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Technical challenges with the Pressure wires


European Bifurcation Club 2017 – EBC 2017 – Porto, Portugal

SESSION 3: A Physiologic Evaluation Session: Bifurcation Stenting FFR Guidance

Technical challenges with the Pressure wires

Author: Massoud Leesar, MD, Professor of Medicine, Section Chief, Interventional Cardiology, Baker Dean Endowed professor, University of Alabama, Birmingham



  • The majority of the SB lesions can be re-crossed after MV stenting with the pressure wires
  • If the pressure wire does not re-cross the SB ostium, SB dilation with a small, short-balloon would facilitate the pressure wire crossing
  • If the SB ostium is felt to be unfavorable for re-crossing, the jailed pressure wire technique may be used, but a short segment of the stent should cover the wire and POT will facilitate the removal of the wire
  • Operators should be aware of the pitfalls of FFR measurements and correct them for accurate FFR measurements


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