Lésion simple de la CD avec mesure FFR

• ​58 years old patient.
• CV risk factors :
  HBP.
  Type 2 diabetes mellitus.  
  dyslipidemia.
  Ex-smoker.
• HISTORY:
  Dilated cardiomyopathy with no significant coronary lesions in 2013 .
  LVEF = 42%, permanent AF
  end-stage renal disease.
  chronic ethylism,axono-myelinic-polyneuropathy,tubulo-villous adenoma,hypothyroidism, diabetic retinopathy.
• Preoperative coronary angiography (AVF)

Learning points

• Step-by-Step optimal preparation of the FFR system to avoid drift.
• Step-by-Step optimal FFR recording.
• Optimal lesion preparation with rotational atherectomy.

Procedure description

• Flushing the FFR system with saline and wait for at least 30 to 60 seconds.
• Putting the system in horizontal position to avoid drift.
• Connecting the FFR system.
• Getting epicardial vasodilatation with nitro.
• Pressure equalization in guiding catheter.
• Baseline FFR recording.
• FFR recording with  maximal hyperemia (100µg ) for RCA.
• Predilatation with NC balloons.
• Rotational atherectomy.
• Stent implantation Xience Alpine

Protocol

• Exposure time: 22min.
• Radiation dose: 1.66 Gy.
• Contrast volume: 175ml (Iomeron).