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January 1, 1999International Journal of Cardiovascular Interventions

Deferring angioplasty in intermediate coronary lesions based on coronary flow criteria is safe: comparison of a deferred group to an intervention group

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Why the study?

Is deferring angioplasty based on coronary flow reserve criteria safe in patients with intermediate coronary lesions?

Population

28 patients with intermediate coronary lesions

Comparison

Angioplasty based on Doppler-wire-derived… vs Deferred angioplasty based on normal CFR values

Design

Cohort

Follow-up

58.1 weeks (range 23-149 weeks)

Authors

LGLuis GrubergMKMichael KapeliovichARAriel Roguin

Discussion

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Overview

Deferral based on CFR may be safe in intermediate lesions; leaves open need for randomized confirmation.

Structured PICO

Is deferring angioplasty based on coronary flow reserve criteria safe in patients with intermediate coronary lesions?

P
Population
28 patients with intermediate coronary lesions
I
Intervention
Angioplasty based on Doppler-wire-derived coronary flow reserve (CFR) (n=20)
C
Comparator
Deferred angioplasty based on normal CFR values (n=8)
O
Outcome
Clinical outcomes including hospital readmission, myocardial infarction, target-vessel revascularization, and symptomatic improvementhard clinical

Deferring angioplasty in intermediate coronary lesions based on normal coronary flow reserve values appears safe with comparable clinical outcomes to revascularization.

Cite This Study

Gruberg et al. (1999) studied this question.

synapsesocial.com/papers/6a71fe31ac440176ef2a74eehttps://doi.org/10.1080/acc.2.1.35.40
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