Fractional flow reserve (FFR) is the gold standard for invasive assessment of ischaemia and is recommended as an IA classification in multivessel percutaneous coronary intervention.
Does routine measurement of fractional flow reserve (FFR) improve patient outcomes in selecting coronary stenoses for interventional treatment?
This review highlights the rationale and evidence supporting the routine integration of FFR into everyday practice for selecting coronary lesions for stenting.
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.
Pijls et al. (Wed,) conducted a review in Coronary stenoses. Fractional flow reserve (FFR) was evaluated. Fractional flow reserve (FFR) is the gold standard for invasive assessment of ischaemia and is recommended as an IA classification in multivessel percutaneous coronary intervention.
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