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Fractional Flow Reserve versus Angiography for Guiding Percutaneous Coronary Intervention
Ist Teil von
The New England journal of medicine, 2009-01, Vol.360 (3), p.213-224
Ort / Verlag
Waltham, MA: Massachusetts Medical Society
Erscheinungsjahr
2009
Link zum Volltext
Quelle
Electronic Journals Library
Beschreibungen/Notizen
Fractional flow reserve (FFR) is a measure of the functional significance of a coronary stenosis. In this study, the use of FFR, as compared with angiography alone, in guiding the placement of coronary stents resulted in the use of fewer stents and better clinical outcomes.
The use of fractional flow reserve, as compared with coronary angiography alone, in guiding the placement of coronary stents resulted in the use of fewer stents and better clinical outcomes.
The presence of myocardial ischemia is an important risk factor for an adverse clinical outcome.
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Revascularization of stenotic coronary lesions that induce ischemia can improve a patient's functional status and outcome.
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For stenotic lesions that do not induce ischemia, however, the benefit of revascularization is less clear, and medical therapy alone is likely to be equally effective.
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With the introduction of drug-eluting stents, the percentage of patients with multivessel coronary artery disease in whom percutaneous coronary intervention (PCI) is performed has increased.
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Because drug-eluting stents are expensive and are associated with potential late complications, their appropriate . . .