Fractional Flow Reserve–Guided Revascularization

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Fractional flow reserve to guide coronary revascularization.

Fractional flow reserve (FFR) has become an increasingly important index for decision making with respect to revascularization of coronary artery stenosis. It is the gold standard to indicate whether a particular stenosis is responsible for inducible ischemia and it is generally accepted that a stenosis with an ischemic value of FFR is responsible for angina pectoris and a worse outcome, and sh...

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Ischemia-based Coronary Revascularization: Beyond Anatomy and Fractional Flow Reserve

Treatment strategies for patients with coronary artery disease (CAD) should be based on objective evidence of inducible ischemia in the subtended myocardium to improve clinical outcomes, symptoms, and cost-effectiveness. Fractional flow reserve (FFR) is the most verified index to-date for invasively evaluating lesion-specific myocardial ischemia. Favorable results from large clinical trials tha...

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The Impact of Fractional Flow Reserve on Revascularization

INTRODUCTION Fractional flow reserve (FFR) is recommended by society guidelines for assessment of the hemodynamic significance of intermediate coronary lesions when non-invasive evidence of myocardial ischemia is unavailable. However, the prevalence of FFR usage in current practice and how FFR values impact revascularization decisions are not well known. METHODS At a single-center Veterans Ad...

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[Long-term prognosis in diabetic patients in whom revascularization is deferred following fractional flow reserve assessment].

INTRODUCTION AND OBJECTIVES The fractional flow reserve (FFR) has been shown to be a valid and useful measure in the functional assessment of coronary stenoses of intermediate severity. Our aim was to determine the usefulness of FFR assessment in diabetic patients, in whom determination of the FFR can be influenced by microvascular dysfunction. METHODS Between 1997-2004, FFR assessment was us...

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Visual-functional mismatch and results of fractional flow reserve guided percutaneous coronary revascularization.

OBJECTIVE To identify mismatches in the significance ofcoronary artery stenosis determined by physician 's visual estimation (VE) vs. quantitative coronary angiography (QCA), by VE vs. fractional flow reserve (FFR), and independent predictors for mismatch between VE and FFR. Second objective was to evaluate the clinical outcomes ofpatients receiving FFR-guided percutaneous coronary intervention...

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ژورنال

عنوان ژورنال: JACC: Cardiovascular Interventions

سال: 2013

ISSN: 1936-8798

DOI: 10.1016/j.jcin.2012.10.014