Comparison of hyperemic efficacy between femoral and antecubital fossa vein adenosine infusion for fractional flow reserve assessment

被引:10
|
作者
Legutko, Jacek [1 ]
Kleczynski, Pawel [1 ]
Dziewierz, Artur [1 ]
Rzeszutko, Lukasz [1 ]
Dudek, Dariusz [1 ]
机构
[1] Jagiellonian Univ, Inst Cardiol, 17 Kopernika St, PL-31501 Krakow, Poland
来源
POSTEPY W KARDIOLOGII INTERWENCYJNEJ | 2019年 / 15卷 / 01期
关键词
coronary artery disease; adenosine; fractional flow reserve; borderline lesion; physiology; PERCUTANEOUS CORONARY INTERVENTION; INTRAVENOUS ADENOSINE; FOLLOW-UP; INTRACORONARY; PRESSURE; STENOSIS; SEVERITY; 5'-TRIPHOSPHATE; ANGIOGRAPHY; INDEX;
D O I
10.5114/aic.2019.83652
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Introduction: Intravenous infusion of adenosine via the femoral vein is commonly used to achieve maximum hyperemia for fractional flow reserve (FFR) assessment in the catheterization laboratory. In the era of transradial access for coronary interventions, obtaining additional venous access with sheath insertion in the groin is unpractical and may be associated with a higher risk of bleeding complications. In a vast majority of cases, patients scheduled for the catheterization laboratory are already equipped with peripheral vein access in antecubital fossa vein. However, only limited data exist to support non-central vein infusion of adenosine instead of the femoral vein for FFR assessment. Aim: To compare infusion of adenosine via a central versus a peripheral vein for the assessment of peak FFR. Material and methods: We enrolled 50 consecutive patients with 125 borderline coronary lesions that were assessed by FFR using adenosine femoral and antecubital vein infusion of 140 mu g/kg/min. Results: Physiological severity assessed with femoral vein adenosine infusion at 140 mu g/kg/min was mean 0.82 +/- 0.09, and with antecubital vein adenosine infusion at 140 mu g/kg/min was 0.82 +/- 0.09. The mean time from initiation of adenosine infusion to maximal stable hyperemia was significantly shorter for 140 mu g/kg/min femoral vein infusion as compared to antecubital vein infusion (49 +/- 19 s vs. 68 +/- 23 s; p < 0.001). There was a strong correlation between FFR values obtained from 140 mu g/kg/min femoral and antecubital vein infusion (r = 0.99; p < 0.001). Conclusions: Antecubital vein adenosine infusion achieved FFR values are very similar to those obtained using femoral vein adenosine administration. However, time to maximal hyperemia is longer with infusion via the antecubital vein.
引用
收藏
页码:52 / 58
页数:7
相关论文
共 50 条
  • [1] Femoral vs antecubital vein adenosine infusion for fractional flow reserve assessment
    Legutko, Jacek
    Kleczynski, Pawel
    Bagienski, Maciej
    Rzeszutko, Lukasz
    Bartus, Stanislaw
    Dudek, Dariusz
    JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2016, 68 (18) : B214 - B214
  • [2] Comparison of Hyperemic Efficacy Between Central and Peripheral Venous Adenosine Infusion for Fractional Flow Reserve Measurement
    Seo, Myung-Ki
    Shin, Dong-Ho
    Yang, Han-Mo
    Park, Kyung-Woo
    Lee, Hae-Young
    Kang, Hyun-Jae
    Kim, Hyo-Soo
    Koo, Bon-Kwon
    Suh, Jung-Won
    Chung, Woo-Young
    Youn, Tae-Jin
    Chae, In-Ho
    Choi, Dong-Ju
    Oh, Byung-Hee
    Park, Young-Bae
    CIRCULATION, 2010, 122 (21)
  • [3] Comparison of Hyperemic Efficacy Between Central and Peripheral Venous Adenosine Infusion for Fractional Flow Reserve Measurement
    Seo, Myung-Ki
    Koo, Bon-Kwon
    Kim, Ji-Hyun
    Shin, Dong-Ho
    Yang, Han-Mo
    Park, Kyung-Woo
    Lee, Hae-Young
    Kang, Hyun-Jae
    Kim, Hyo-Soo
    Oh, Byung-Hee
    Park, Young-Bae
    CIRCULATION-CARDIOVASCULAR INTERVENTIONS, 2012, 5 (03) : 401 - 405
  • [4] Intracoronary versus intravenous infusion of adenosine for the accurate assessment of fractional flow reserve: the hyperemic study
    Elghamaz, Ahmed
    Myat, Aung
    De Belder, Adam
    Collison, Damien
    Oldroyd, Keith
    Stone, Gregg
    JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2017, 70 (18) : B105 - B105
  • [5] Continuous intracoronary versus standard intravenous infusion of adenosine for fractional flow reserve assessment: the HYPEREMIC trial
    Elghamaz, Ahmed
    Myat, Aung
    de Belder, Adam
    Collison, Damien G.
    Cocks, Kim
    Stone, Gregg W.
    Oldroyd, Keith G.
    EUROINTERVENTION, 2020, 16 (07) : 560 - +
  • [6] Impact of ageing on the hyperemic effect of adenosine for the assessment of the fractional flow reserve (FFR)
    Gioscia, Rocco
    Verdoia, Monica
    Nardin, Matteo
    Negro, Federica
    Tonon, Francesco
    Casella, Iacopo
    Marcolongo, Marco
    De Luca, Giuseppe
    EUROPEAN HEART JOURNAL SUPPLEMENTS, 2019, 21 (0J) : J102 - J102
  • [7] Adenosine induced maximal coronary hyperemia for myocardial fractional flow reserve measurements comparison - of administration by femoral venous versus antecubital venous access
    Lindstaedt, M.
    Yazar, A.
    Bojara, W.
    Holland-Letz, T.
    Mueller, L.
    Muegge, A.
    Germing, A.
    EUROPEAN HEART JOURNAL, 2009, 30 : 247 - 248
  • [8] Comparison of efficacy and safety of intracoronary nicardipine and adenosine for fractional flow reserve assessment of coronary stenosis
    Roongsangmanoon, Worawut
    Wongsoasup, Arthit
    Angkananard, Teeranan
    Rattanajaruskul, Nattapun
    Jirapattrathamrong, Somboon
    INTERNATIONAL JOURNAL OF CARDIOLOGY, 2022, 356 : 1 - 5
  • [9] Comparison the efficacy between the intracoronary continuous infusion method and the intravenous continuous infusion method of adenosine to induce the maximal hyperemia for fractional flow reserve measurement
    Yoon, Myeong-Ho
    Tahk, Seung-Jea
    Lim, Hong-Seok
    Woo, Seong-Ill
    Yang, Hyeong-Mo
    Choi, Un-Jung
    Hwang, Jung-Won
    Kang, Soo-Jin
    Choi, Byoung-Joo
    Choi, So-Yeon
    Hwang, Gyo-Seung
    Shin, Joon-Han
    JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2008, 51 (10) : B10 - B10
  • [10] Comparison of efficacy between the intracoronary continuous infusion method and the intravenous continuous infusion method of adenosine to induce the maximal hyperemia for fractional flow reserve measurement
    Yoon, M. H.
    Tahk, S. J.
    Lim, H. S.
    Woo, S. I.
    Yang, H. M.
    Choi, U. J.
    Hwang, J. W.
    Kang, S. J.
    Choi, B. J.
    Choi, S. Y.
    Hwang, G. S.
    Shin, J. H.
    AMERICAN JOURNAL OF CARDIOLOGY, 2008, 101 (8B): : 78C - 79C