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Title: Consensus document for invasive coronary physiologic assessment in Asia-pacific countries
Authors: Hak Seung Lee
Joo Myung Lee
Chang Wook Nam
Eun Seok Shin
Joon Hyung Doh
Neng Dai
Martin K.C. Ng
Andy S.C. Yong
Damras Tresukosol
Ajit S. Mullasari
Rony Mathew
Praveen Chandra
Kuang Te Wang
Yundai Chen
Jiyan Chen
Kai Hang Yiu
Nils P. Johnson
Bon Kwon Koo
Keimyung University, Dongsan Medical Center
General Hospital of People's Liberation Army
Guangdong General Hospital
Concord Repatriation General Hospital
Mackay Memorial Hospital Taiwan
University of Texas Medical School at Houston
Seoul National University Hospital
Royal Prince Alfred Hospital
SungKyunKwan University, School of Medicine
Inje University
Faculty of Medicine, Siriraj Hospital, Mahidol University
Fudan University
The University of Hong Kong
University of Ulsan, College of Medicine
Institute of Cardiovascular Diseases India
Lisie Hospital
Keywords: Medicine
Issue Date: 1-Jun-2019
Citation: Cardiology Journal. Vol.26, No.3 (2019), 215-225
Abstract: © 2019 Via Medica. Background: Currently, invasive physiologic assessment such as fractional flow reserve is widely used worldwide with different adoption rates around the globe. Patient characteristics and physician preferences often differ in the Asia-Pacific (APAC) region with respect to treatment strategy, techniques, lesion complexity, access to coronary physiology and imaging devices, as well as patient management. Thus, there is a need to construct a consensus document on recommendations for use of physiology-guided percutaneous coronary intervention (PCI) in APAC populations. This document serves as an overview of recommendations describing the best practices for APAC populations to achieve more consistent and optimal clinical outcomes. Methods and Results: A comprehensive multiple-choice questionnaire was provided to 20 interventional cardiologists from 10 countries in the APAC region. Clinical evidence, tips and techniques, and clinical situations for the use of physiology-guided PCI in APAC were reviewed and used to propose key recommendations. There are suggestions to continue to develop evidence for lesion and patient types that will benefit from physiology, develop directions for future research in health economics and local data, develop appropriate use criteria in different countries, and emphasize the importance of education of all stakeholders. A consensus recommendation to enhance the penetration of invasive physiology-based therapy was to adopt the 5E approach: Evidence, Education, Expand hardware, Economics and Expert consensus. Conclusions: This consensus document and recommendations support interventional fellows and cardiologists, hospital administrators, patients, and medical device companies to build confidence and encourage wider implementation of invasive coronary physiology-guided therapy in the APAC region.
ISSN: 1898018X
Appears in Collections:Scopus 2019

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