Assessment of the coronary microcirculation in the cardiac catheterisation laboratory

Cuneyt Ada, Andy Yong*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

1 Citation (Scopus)
95 Downloads (Pure)

Abstract

The coronary microcirculation is a key determinant of blood supply to the myocardium and outweighs the epicardial arteries in its abundance and distribution. Recent studies have shown the clinical benefit of assessing the microcirculation, and this practice has now been given a recommendation within the latest international guidelines and consensus statements. However, the uptake of assessing the microcirculation remains low. We continue to focus our efforts in diagnosing and managing epicardial coronary disease in the cardiac catheterisation laboratory and mostly ignore the microvasculature. This is in large part due to the lack of familiarity with available tools to perform these assessments. This review aims to summarise the various techniques available to invasively assess the coronary microcirculation in the catheterisation laboratory. The advantages, disadvantages, pitfalls and clinical implications of each method are discussed.

Original languageEnglish
Article number57
Pages (from-to)1-13
Number of pages13
JournalVessel Plus
Volume5
DOIs
Publication statusPublished - 2021
Externally publishedYes

Bibliographical note

Copyright the Author(s) 2021. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

Keywords

  • Coronary microvascular disease
  • coronary physiology
  • index of microcirculatory resistance
  • microvascular angina

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