Deferred revascularization in diabetic patient according to combined invasive functional and intravascular imaging data:A case report  

作　　者：Arif Al Nooryani Wael Aboushokka Branko Beleslin Biljana Nedeljkovic-Beleslin 

机构地区：[1]Department of Cardiology,Al Qassimi Hospital,Sharjah 1234,United Arab Emirates [2]Department of Cardiology,Medical Faculty,University of Belgrade,Belgrade 11000,Serbia [3]Institute of Endocrinology,Diabetes and Metabolic Disorders,Univeristy Clinical Center of Serbia,Belgrade 11000,Serbia [4]Department of Internal Medicine/Endocrinology,Medical faculty,University of Belgrade,Belgrade 11000,Serbia

出　　处：《World Journal of Clinical Cases》2024年第13期2269-2274,共6页世界临床病例杂志

摘　　要：BACKGROUND Invasive functional evaluation by fractional flow reserve(FFR)is considered as a gold standard for the evaluation of intermediate coronary stenosis.However,in patients with diabetes due to accelerated progression of atherosclerosis the outcome may be worse even in the presence of negative functional testing.CASE SUMMARY We present a case of 55-year-old male diabetic patient who was admitted for chest pain.Diagnostic coronary angiography disclosed 2 intermediate stenoses of the obtuse marginal branch with no evidence of restenosis on previously implanted stent.Patient undergone invasive functional testing of intermediate lesion with preserved FFR(0.88),low coronary flow reserve(1.2)and very high index of microvascular resistance(84).Due to discrepancy in invasive functional parameters,intravascular imaging with optical coherence tomography showed fibrotic stenoses without signs of thin-sup fibroatheroma.Because of the preserved FFR and no signs of vulnerable plaque,the interventional procedure was deferred and the patient continued with optimal medications.CONCLUSION Combined functional and anatomic imaging of intermediate coronary stenosis in diabetic patients represent comprehensive contemporary decision pathway in the management of the patients.

关 键 词：Fractional flow reserve Coronary flow reserve Index of microvascular resistance Optical coherence tomography Intermediate coronary stenosis Case report 

分 类 号：R543.3[医药卫生—心血管疾病]