Coronary sinus reducer for the treatment of angina and coronary microvascular dysfunction

• Unmet clinical need
• Historical background and rationale
• Evidence
• Mechanism of action
• Where does CF Reducer fit in refractory angina managment?
• Take home messages

• Using precision diagnostics
• Quantitative evaluation of the epicardial and microcirculation of the heart

Dr Ranil de Silva is a consultant interventional cardiologist and leads the specialist angina service at Royal Brompton Hospital, where he treats private and NHS patients.

In particular, his research areas include: refractory angina, coronary microvascular dysfunction, coronary plaque biomechanics, novel cardiac magnetic resonance imaging techniques for the study of adverse left ventricular remodelling.