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Erschienen in: Wiener klinische Wochenschrift 7-8/2022

06.12.2021 | review article

Functional Coronary Artery Assessment: a Systematic Literature Review

verfasst von: Samuel A. Freitas, Débora Nienow, Cristiano A. da Costa, Dr. Gabriel de O. Ramos

Erschienen in: Wiener klinische Wochenschrift | Ausgabe 7-8/2022

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Abstract

Cardiovascular diseases represent the number one cause of death in the world, including the most common disorders in the heart’s health, namely coronary artery disease (CAD). CAD is mainly caused by fat accumulated in the arteries’ internal walls, creating an atherosclerotic plaque that impacts the blood flow functional behavior. Anatomical plaque characteristics are essential but not sufficient for a complete functional assessment of CAD. In fact, plaque analysis and visual inspection alone have proven insufficient to determine the lesion severity and hemodynamic repercussion. Furthermore, the fractional flow reserve (FFR) exam, which is considered the gold standard for stenosis functional impair determination, is invasive and contains several limitations. Such a panorama evidences the need for new techniques applied to image exams to improve CAD functional assessment. In this article, we perform a systematic literature review on emerging methods determining CAD significance, thus delivering a unique base for comparing these methods, qualitatively and quantitatively. Our goal is to guide further studies with evidence from the most promising methods, highlighting the benefits from both areas. We summarize benchmarks, metrics for evaluation, and challenges already faced, thus shedding light on the requirements for a valid, meaningful, and accepted technique for functional assessment evaluation. We create a base of comparison based on quantitative and qualitative indicators and highlight the most relevant geometrical metrics that correlate with lesion significance. Finally, we point out future benchmarks based on recent literature.
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Metadaten
Titel
Functional Coronary Artery Assessment: a Systematic Literature Review
verfasst von
Samuel A. Freitas
Débora Nienow
Cristiano A. da Costa
Dr. Gabriel de O. Ramos
Publikationsdatum
06.12.2021
Verlag
Springer Vienna
Erschienen in
Wiener klinische Wochenschrift / Ausgabe 7-8/2022
Print ISSN: 0043-5325
Elektronische ISSN: 1613-7671
DOI
https://doi.org/10.1007/s00508-021-01970-4