FFR-iFR: concepts, technical pitfalls, applications in various lesion types-Elias hanna

Рет қаралды 19,382

Күн бұрын

0:00 FFR concept. Flow vs pressure. FFR Pd waveform features. FFR major studies (12:10)
16:49: FFR vs SPECT nuclear imaging in multivessel disease
18:00 iFR concept. iFR and FFR discrepancies: why? Prognostic implications.
26:07 Other non-adenosine indices: dFR, RFR, contrast FFR
29:18 Technical performance of FFR/iFR study. Pitfalls. Transducer drift
34:29 Ostial guide obstruction-Aortic waveform distortion- Importance of guide disengagement
45:30 Initial FFR dip vs later steady state hyperemia
49:03 Serial stenoses pitfalls and technical tips. Value of iFR vs FFR in serial disease. iFR coregistration pullback
01:01:08 Diffuse disease
09:23 FFR of the parent vessel in CTO
01:02:52 Left main disease. The major pitfall of downstream LAD/LCx disease. How to perform FFR for LM, FFR vs iFR vs IVUS
01:10:42 FFR-iFR in MI
01:13:13 FFR vs iFR in aortic stenosis
01:15:07 FFR vs iFR summary: in which cases FFR is better- in which cases iFR is better
01:16:22 Post-stenting FFR and iFR guidance
01:19:29 FFR-guided CABG: should we only graft vessels with significant FFR?

Пікірлер: 21

@satyashivadas4864 Жыл бұрын

I have no words to express my gratitude to you. Please upload more videos. You are such an amazing teacher

@areenal-taie6836 Жыл бұрын

Thank you very much Dr Hanna Excellent teaching as usual Please continue to teach us more tricks in interventional cardiology

@pavanprasad2529 Жыл бұрын

Sincere thanks to Dr Hanna . Explained very well. Being an engineer i am able to understand these topics very clearly.

@mirhansyahperdana7113 Жыл бұрын

I thought ffr and ifr were that simple. After watching this video, i realize i know nothing. Thank u sir 🙏🙏

@nouraldeenmanasrah3501 8 күн бұрын

Thank you for the amazing lecture

@Mohamed-cz7kc Жыл бұрын

we all thank god that sent you sir to help us to master intervention cardiology graduated from your school .

@Taleb1160 Жыл бұрын

Thank you immensely Dr Hanna .. the session is most valuable and brilliantly explained.

@Nikesnipe Жыл бұрын

The Video we were all waiting for Thank u so much

@memharoungmail Жыл бұрын

Very helpful ,appreciate the effort&the sweat and blood went into it.quite surprising to find such quality material for no charges. Big salute 🫡🫡🫡

@jn9003 Жыл бұрын

very useful and instructive , your hard work is not in vain sir

@hussanraza4010 Жыл бұрын

Thanks for such a wonderful thorough and well explained lecture

@gyanpapisen7806 10 ай бұрын

Why is it so that if FFR is 0.8, the pressure waveform of the distal coronary vessel loses the dicrotic notch and gets ventricularised ? I didn't get it...

@aroojzahid3138 8 ай бұрын

Simply the best lecture

@drvivekmaheshagrawal Жыл бұрын

Beautifully explained 👍

@shamsrehan8942 4 ай бұрын

Amazing lecture sir as usual , am so thankfull to u sir

@mohamedemara6853 Жыл бұрын

Wonderful presentation, sir

@usmanmustafa3550 Жыл бұрын

Great great talk.

@Mohamed-cz7kc Жыл бұрын

thank you sir ❤

@Shiv_Gupta 6 ай бұрын

Perfect knowledge sharing. Thanks for uploading here. Do you have more details on Impella working or can share a link?

@eliashanna8248 6 ай бұрын

Thank you. If your question is regarding the effect of Impella on FFR, you may review my Impella talk kzfaq.info/get/bejne/fKxpdpiH3a-uioE.html, minute 22:37. I cite 2 references, especially an important one that showed that Impella increases distal coronary pressure even past a significant stenosis (unlike IABP). Alqarqaz M, Basir M, Alaswad K, O’Neill W. Effects of Impella on Coronary Perfusion in Patients With Critical Coronary Artery Stenosis. Circ Cardiovasc Interv. 2018;11(4):e005870.