Using Physiology Pullback for Percutaneous Coronary Intervention Guidance: Is this the Future?

Sukhjinder Singh Nijjer

doi:10.1016/j.iccl.2022.09.005

Using Physiology Pullback for Percutaneous Coronary Intervention Guidance: Is this the Future?

Interv Cardiol Clin. 2023 Jan;12(1):41-53. doi: 10.1016/j.iccl.2022.09.005.

Author

Sukhjinder Singh Nijjer¹

Affiliation

¹ Department of Cardiology, Imperial College London, Hammersmith Hospital, Du Cane Road, London, W12 0HS, United Kingdom. Electronic address: https://twitter.com/SukhNijjer.

PMID: 36372461
DOI: 10.1016/j.iccl.2022.09.005

Abstract

Modern coronary intervention requires integration of angiographic, physiologic, and intravascular imaging. This article describes the use and techniques needed to understand coronary physiology pullback data and how use it to make revascularization decisions. The article describes instantaneous wave-free ratio, fractional flow reserve, and the data that support their use and how they differ when used in tandem disease. Common practical mistakes and errors are discussed together with a brief review of the limited published research data.

Keywords: FFR; PCI optimization; PPG; Physiology pullback; Pressure wire pullback; iFR.

Publication types

Review

MeSH terms

Cardiac Catheterization / methods
Coronary Angiography / methods
Coronary Artery Disease* / diagnosis
Coronary Artery Disease* / surgery
Fractional Flow Reserve, Myocardial* / physiology
Humans
Percutaneous Coronary Intervention*
Predictive Value of Tests