Journal
EUROPEAN HEART JOURNAL
Volume 34, Issue 18, Pages 1335-1344Publisher
OXFORD UNIV PRESS
DOI: 10.1093/eurheartj/ehs436
Keywords
Fractional flow reserve; Coronary artery stenosis; Pressure wire; Functional assessment
Categories
Funding
- St. Jude Medical
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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 percutanous 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.
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