Review Article

Coronary Microcirculation in Aortic Stenosis: Pathophysiology, Invasive Assessment, and Future Directions

Table 1

Literature review of vasodilator stress agents in severe aortic stenosis.

AuthorsCitationNDrugTechniqueSafety issues

Roy et al. [23]Nucl Med Commun 1998; 19: 78912DipySPECTNo
Carpeggiani et al. [24]J CV Med 2008; 9: 89315DipyPETNo
Liu et al. [25]Sci Rep 2019; 9: 1244315DipySPECTNo
Burwash et al. [26]Heart 2008; 94: 162720DipyPETNo but 16 excluded
Rajappan et al. [27]Circulation 2002; 105: 47020DipyPETNo
Nemes et al. [28]Herz 2002; 27: 78021DipyTTENo
Baroni et al. [29]Heart 1996; 75: 49225DipyTTENo
Huikuri et al. [30]AJC 1987; 59: 33627DipySPECT2 hypotension
Demirkol et al. [31]Cardiology 2002; 97: 3730DipySPECTNo
Nemes et al. [32]Clin Physiol Funct Imaging 2009; 29,:44749DipyTTENo
Avakian et al. [33]IJC 2001; 81: 21110DipySPECTNo
Camuglia et al. [34]JACC 2014; 63: 180810IC adenoDoppler wireNo
Vendrik et al. [35]JAHA 2020; 9:e01513313IC adenoFFRNo
Wiegerinck et al. [36]Circ CV Int 2015; 8:e00244327IC adenoComboNo
Ahmad et al. [37]JACC CV Int 2018; 11: 201928IC adenoFFRNo
Scarsini et al. [38]EuroIntervention 2018; 13: 151266IC adenoFFRNo
Di Gioia et al. [39]AJC 2016; 117: 1511106IC adenoFFRNo
Scarsini et al. [38]J Cardiovasc Transl Res 2019; 12: 53982IC/IV adenoFFRNo
Stähli et al. [40]Cardiology 2012; 123: 2344IV adenoFFRNo
Stundl et al. [41]Clin Res Cardiol 2019; 10913IV adenoFFRNo
Lumley et al. [42]JACC 2016; 68: 68819IV adenoFFRNo
Burgstahler et al. [43]IJ CV Img 2008; 24: 19520IV adenoCMRNo
Hildick-Smith and Shapiro [44]JACC 2000; 36: 188927IV adenoTTE1 “tolerated poorly”
Mahmod et al. [45]JCMR 2014; 16: 2928IV adenoCMRNo
Samuels et al. [46]JACC 1995; 25: 9935IV adenoSPECT2 hypotension, 2 AV block
Gutiérrez-Barrios et al. [47]Int J Cardiol 2017; 236: 37036IV adenoFFRNo
Stoller et al. [48]EuroIntervention 2018; 14: 16640IV adenoFFRNo
Takemoto et al. [49]JASE 2014; 27: 20041IV adenoTTE/FFRNo
Patsilinakos et al. [50]Angiology 1999; 50: 30950IV adenoTTE/SPECTNo
Stanojevic et al. [51]J Inv Card 2016; 28: 35772IV adenoFFRNo
Patsilinakos et al. [52]JNC 2004; 11: 2075IV adenoSPECT9 AV block
Yamanaka et al. [53]JACC CV Int 2018; 11: 203295IV adenoFFR/SPECT1 AV block, 10% SBP < 40 mmHg
Ahn et al. [54]JACC 2016; 67: 1412117IV adenoCMRNo
Banovic et al. [55]Echo 2014; 31: 428127IV adenoTTENo
Singh et al. [56]EHJ 2017; 38: 1222174IV adenoCMRNo
Nishi et al. [57]Coron Artery Dis 2018; 29: 2239MixedFFRNo
Arashi et al. [58]Cardiovasc Interv Ther 2019; 34: 26913MixedFFRNo
Hussain et al. [59]JNC 2017; 24: 120095MixedSPECTNo
Banovic et al. [60]Coron Artery Dis 2020; 31: 166–734NRFFRNo
Cremer et al. [61]JNC 2014; 21: 100150RegaPET2 hypotension

AV = atrioventricular, adeno = adenosine, CMR = cardiac magnetic resonance, dipy = dipyridamole, FFR = fractional flow reserve, IC = intracoronary, IV = intravenous, N = number of subjects, NR = not reported, PET = positron emission tomography, rega = regadenoson, SBP = systolic blood pressure, SPECT = single-photon emission computed tomography, and TTE = transthoracic echocardiography.