The application of intravascular ultrasound and fractional lfow reserve in the treatment of military aircrew with coronary heart disease
ZHANG Haitao
SUN Jinjin
HUANG Congchun
WANG Junhua
YU Xinya
TIAN Jianwei
LUO Huilan
LIU Chaozhong
Abstract：ObjectiveTo study the application value of coronary angiogram(CAG) intravascular ultrasound(IVUS) and fractional flow reserve(FFR) for aero-medical assessment of military aircrew with coronary heart disease (CHD). MethodsThe application and aero-medical assessment about 11 military aircrew members diagnosed with CHD who performed with CAG, IVUS and FFR was analyzed retrospectively. The value of the three kinds of detection methods for the application of the CHD military aircrew was evaluated.ResultsAmong 11 aircrew members aged from 29 to 52 years old, including 4 cases with latent coronary heart disease, 4 cases were with angina, 2 cases with old inferior myocardial infarction and 1 case with old myocardial infarction in anterior wall. All of the 11 cases were performed by CAG, including 6 cases performed with CAG and IVUS and FFR simultaneously, 3 cases with CAG and IVUS simultaneously, 2 cases with CAG and FFR simultaneously. There were 3 cases as rechecked after PCI, 6 cases were judged by borderline lesion, 3 cases were performed with percuteneous coronary artery stents after examination. In the end, there were 3 aircrew members qualified to flight, the other 8 aircrew members were disqualified to flight and left in the ground to be observed.Conclusions The method of CAG combined with IVUS and FFR could evaluate the coronary lesion much more distinctly and accurately based on anatomical and functional degree, which could provide objective and comprehensive evidences for medical assessment of military aircrew with CHD.
Keywords：Coronary heart diseaseAircrewCoronary angiogramIntravascular ultrasoundFractional flow reserveAero-medical assessment
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 132-136 )