Don't judge a book by its cover: don't judge stenosis severity solely by intravascular ultrasound.

نویسندگان

  • Nils P Johnson
  • Charles J Davidson
چکیده

In this issue of Circulation: Cardiovascular Interventions, Kang et al1 compare intravascular ultrasound (IVUS) parameters against a gold standard of fractional flow reserve (FFR) for evaluating intermediate stenoses. Their work adds another piece of evidence to a debate whose outcome is fundamentally changing interventional cardiology. As encapsulated by the title of the “FFR versus Angiography for Multivessel Evaluation” (FAME) trial,2 the debate can be summarized simply: physiology versus anatomy. Its urgency and importance cannot be more clear, given recent skepticism toward the value of percutaneous coronary intervention (PCI): its ranking as 1 of the 10 most overused procedures in a consumer report3; litigation against an interventional cardiologist for allegedly implanting inappropriate stents4; and an editorial in a prominent medical journal calling to end ad hoc PCI.5 Therefore, the work by Kang et al1 is both timely and relevant.

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Don’t Judge Stenosis Severity Solely by Intravascular Ultrasound

In this issue of Circulation: Cardiovascular Interventions, Kang et al1 compare intravascular ultrasound (IVUS) parameters against a gold standard of fractional flow reserve (FFR) for evaluating intermediate stenoses. Their work adds another piece of evidence to a debate whose outcome is fundamentally changing interventional cardiology. As encapsulated by the title of the “FFR versus Angiograph...

متن کامل

Intravascular ultrasound. Techniques, developments, clinical perspectives.

Spend your few moment to read a book even only few pages. Reading book is not obligation and force for everybody. When you don't want to read, you can get punishment from the publisher. Read a book becomes a choice of your different characteristics. Many people with reading habit will always be enjoyable to read, or on the contrary. For some reasons, this intravascular ultrasound techniques dev...

متن کامل

Visualization for New Generation Users in the Age of the Electronic Book

People are visual and respond to images. This is well known and has been exploited for eons by those wishing to sell product and promote ideas. A picture paints a thousand words. Book publishers have taken advantage of the response to images by putting time and effort into book covers. These help to sell the book to the reader. While we may say 'don't judge a book by its cover' in fact we frequ...

متن کامل

The Legal Doctrine of "Fact" in Lunacy, and the Case of George Clark

On the 27^ ?f February last, George Clark, a cabinet-maker, 45 years of age, was tried at Newcastle, before Mr. Justice Willes, for the wilful murder of Mark Frater, a tax-gatherer, 011 the 1st October, 1861. The prisoner pleaded "Not Guilty," and he refused to be aided by counsel, stating that he would defend himself. Upon this the Judge interposed, and said, "Have you any counsel ?" Prisoner....

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

عنوان ژورنال:
  • Circulation. Cardiovascular interventions

دوره 4 1  شماره 

صفحات  -

تاریخ انتشار 2011