Fractional Flow Reserve in Japanese Routine Clinical Practice

Fractional Flow Reserve in Japanese Routine Clinical Practice.

nary artery bypass grafting (CABG) procedures. Another distinct point is the high penetration of intravascular ultrasound (IVUS)-guided percutaneous coronary intervention (PCI) in Japan: 83% of the total PCI procedures performed in 2016 from the data of JROAD. This is a big advantage of Japanese-style intervention, because intravascular imaging has recently emerged as a critical modality for ac...

Impact of Routine Fractional Flow Reserve Evaluation During Coronary Angiography on Management Strategy and Clinical Outcome

Fractional Flow Reserve

Traditionally, coronary artery disease was assessed using coronary angiographic guidance. Significant lesions were determined by the coronary angiographer. However, interobserver variability showed a significant limitation of interpretation of coronary angiography. Stent deployment and apposition were also evaluated based on angiographic appearance only. Risk factors for stent thrombosis and in...

Clinical applications of fractional flow reserve in bifurcation lesions

Percutaneous coronary intervention (PCI) for coronary bifurcation lesions has been associated with lower procedural success rates and worse clinical outcomes compared with PCI for simple coronary lesions. Angiographic evaluation alone is sometimes inaccurate and does not reflect the functional significance of bifurcation lesions. The fractional flow reserve (FFR) is an easily obtainable, reliab...

Trends in the outcomes of percutaneous coronary intervention with the routine incorporation of fractional flow reserve in real practice.

AIMS We evaluated the impact of the routine use of fractional flow reserve (FFR) on the practice and outcomes of percutaneous coronary intervention (PCI). METHODS AND RESULTS Between January 2008 and December 2011, the rate of FFR use during PCI increased from 1.9 to 50.7% after the introduction of routine FFR use (P < 0.001). A total of 5097 patients (2699 patients before and 2398 after the ...