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"La FFR ne ment jamais" Nico Pijls

Recommandation 1A depuis 2010, la FFR est devenu incontournable dans les salles de cathétérisme cardiaque. En France, Il y a plus d'un an, la FFR Abbott faisait son entrée dans les GHS (majoration) avec un acte tarifié.
Quelle est aujourd’hui la place de cet outil diagnostic et comment optimiser son utilisation au quotidien ?
Comment intégrer la FFR de manière standardisée dans vos procédures d'angioplastie ?
Quels sont les méthodes simples et rapides à mettre en place pour acquérir le réflexe FFR au cœur du Cathlab !

En regardant le replay de cette session interactive, vous pourrez obtenir des réponses à toutes ces questions, partager les avis et conseils de nos experts et trouver des solutions FFR adaptées à vos besoins.

 

Programme

  • L'outil diagnostic standard
    Case-in-box n°1 : Lésion simple de la CD avec mesure FFR
    Discussion interactive du panel
  • Complémentarités FFR & OCT 
    Case-in-box n°2 : Lésions étagées de la CD + lésion IVA
    Discussion interactive du panel
  • L'allié incontournable chez le patient pluritronculaire
    Case-in-box n°3 : Lésion du TC avec sténoses multiples
    Case-in-box n°4 : Revascularisation de lésions multiples sur la CX
    Discussion interactive du panel
     
  • Conclusion 

Cas Clinique : Clinical Data

  • Case-in-box n°1 : Lésion simple de la CD avec mesure FFR
    • Patient âgé de 58 ans
    • FDRCV :
      HTA
      diabète non insulino-dépendant – pléthorique
      hypercholestérolémie
      tabagisme ancien
    • ATCD :
      Myocardiopathie dilatée avec réseau coronaire athéromateux en 2013
      FEVG = 42%, FA permanente
      Insuffisance rénale chronique sur néphropathie diabétique pré-dialyse
      Éthylisme chronique, polyneuropathie axono-myélinique, adénome tubulo-villeux colique, hypothyroïdie, rétinopathie diabétique
    • Coronaro pré-opératoire (FAV)

  • Case-in-box n°2 : Lésions étagées de la CD + lésion IVA
    • Patiente âgée de 62 ans
    • FDRCV : hypertension artérielle
    • Scène clinique infarctoïde il y 3 semaines survenue dans un contexte de stress intense
    • A l’entrée (disparition complète de la douleur)
      ECG : sous décalage segment ST en territoire latéral
      Troponine positive (7 ng/ml)
      Echocardiographie : FEVG = 35% avec ballonisation apicale

  • Case-in-box n°3 : Lésion du TC avec sténoses multiples
    • Patient âgé de 75 ans
    • FDRCV :
      HTA
      diabète insulino-requérant – pléthorique
      hypercholestérolémie
      tabagisme actif
    • ATCD: – AVC
      AOMI
      BPCO post tabagique – SAS
      Sd anxio-dépressif
    • Prise en charge pour SCA ST-

  • Case-in-box n°4 : Revascularisation de lésions multiples sur la CX
    • Patient âgé de 55 ans
    • FDRCV :
      pléthorique
      hypercholestérolémie
    • ATCD :
      Asthme ancien
      Diverticulose colique
    • Prise en charge pour SCA ST+ antérieur il y a 1 mois à 2h 30 du début des symptômes

Objectifs Pédagogiques

  • Comment utiliser la FFR en pratique courante ?
  • Quelles méthodes appliquer pour une FFR standardisée ?
  • Intérêt de la FFR dans les procédures simples
  • Optimiser sa stratégie thérapeutique chez les patients plus complexes
  • FFR et autres outils diagnostic

Cibles

  • Cardiologues interventionnels francophones
  • Paramédicaux francophones
Shooting date : 2017-11-17
Last update : 2021-05-21
Julien Adjedj
Saint-Laurent du Var, France
4 comments
Join the Discussion
  • Ahmed B. Very nice session , thanks for everyone

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    • Benjamin F. Bravo à tous les 4 pour cette belle session didactique! Bravo aux orateurs et à la clarté de leurs commentaires!

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      • Adolphe K. si la FFR reste positive post angioplastie , quelle serait les hypophyses et la prise en charge.

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        • DJOU U. quelle différence entre iFR et FFR?

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