Vessel Plus 2021;5:[Accepted].10.20517/2574-1209.2021.51@The Author(s) 2021
Assessment of the coronary microcirculation in the cardiac catheterisation laboratory
Correspondence Address: A/Prof. Andy Yong, Department of Cardiology, Concord Repatriation General Hospital, Concord 2139, Sydney, Australia. E-mail: firstname.lastname@example.org
Received: 29 Mar 2021 | Revised: 17 May 2021 | Accepted: 27 May 2021 | First online: 27 May 2021
AbstractThe 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 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 assessing the coronary microcirculation in the catheterisation laboratory. The advantages, disadvantages, pitfalls and clinical implications of each method will be discussed.
KeywordsCoronary microvascular disease, microvascular angina, index of microcirculatory resistance, coronary physiology
Cite This Article
Ada C, Yong A. Assessment of the coronary microcirculation in the cardiac catheterisation laboratory. Vessel Plus 2021;5:[Accept]. http://dx.doi.org/10.20517/2574-1209.2021.51