Functional assessment of coronary stenoses: can we live without it?

Abstract:

:When selecting coronary stenoses for interventional treatment, assessment of reversible ischaemia is paramount from a symptomatic as well as prognostic point of view. Fractional flow reserve (FFR) is now considered the gold standard for invasive assessment of ischaemia. By measuring FFR in the catheterization laboratory, one can accurately identify which lesions should be stented resulting in improved patient outcome in most elective clinical and angiographic conditions. Recently, in the European Society of Cardiology guidelines on coronary revascularization, FFR was upgraded to an IA classification in multivessel percutaneous coronary intervention. In this review paper, the rationale for routine measurement of FFR will be reviewed and studies supporting its integration into everyday practice will be highlighted.

journal_name

Eur Heart J

journal_title

European heart journal

authors

Pijls NH,Tanaka N,Fearon WF

doi

10.1093/eurheartj/ehs436

subject

Has Abstract

pub_date

2013-05-01 00:00:00

pages

1335-44

issue

18

eissn

0195-668X

issn

1522-9645

pii

ehs436

journal_volume

34

pub_type

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