The impact of device cross-sectional area on vessel haemodynamics.

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Presentation transcript:

The impact of device cross-sectional area on vessel haemodynamics. The impact of device cross-sectional area on vessel haemodynamics. Scalar image illustrating the cross sections of the device and the wire on which it is mounted at three different levels: the optical cable level within the lesion: the optical sensor level beyond the lesion and the workhorse wire alone beyond the lesion. Diameter stenosis at optical fibre level is 57%. Area stenosis is 81%. Although the maximum diameter of the device is 0.028 inches, at the level of the lesion, its cross-sectional area is more than twice that of the guidewire (0.25 mm2 vs 0.10 mm2). In this scenario, the microcatheter itself impedes antegrade flow with a resultant lowering of the FFR value. Henry Seligman et al. Open Heart 2019;6:e000971 ©2019 by British Cardiovascular Society