TCT-506 Coronary sinus reduction improves myocardial perfusion reserve index assessed by dipyridamole stress cardiac magnetic resonance

Coronary Sinus Reducer: A Solution for patients with Refractory Angina

Refractory Angina (RA) places a great burden on patients and the healthcare system, with reduced quality of life (QOL), increased hospital admissions, polypharmacy, and psychological effects. Patients with RA are limited in options for management and with the introduction of the coronary sinus reducer (CSR), a safe and effective option may be available for this group of patients. This review article seeks to understand the efficacy of coronary sinus implantation in the current literature.

The Reducer device in patients with angina pectoris: mechanisms, indications, and perspectives

Despite available pharmacological and interventional therapies, refractory angina is a common and disabling clinical condition, and a major public health problem, which affects patients' quality-of-life, and has a significant impact upon health care resources. Persistent angina is common not only in patients who are not good candidates for revascularization, but also in patients following successful revascularization. Clearly, there is a need for additional treatment options for refractory angina beyond currently available pharmacological and interventional therapies. It is of pivotal importance, in this condition, to practice a patient-centred health assessment approach, measuring success of a new therapy by its effects on patients' symptoms, functional status, and quality-of-life, rather than hard clinical endpoints as used in clinical studies. The coronary sinus Reducer is a novel technology designed to reduce disabling symptoms and improve quality-of-life of patients suffering from refractory angina. This review serves to update the clinician as to current evidence and future perspectives of the optimal utilization of this innovative technology.