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Angiography-Based Fractional Flow Reserve: State of the Art.

Authors :
Scoccia A
Tomaniak M
Neleman T
Groenland FTW
Plantes ACZD
Daemen J
Source :
Current cardiology reports [Curr Cardiol Rep] 2022 Jun; Vol. 24 (6), pp. 667-678. Date of Electronic Publication: 2022 Apr 18.
Publication Year :
2022

Abstract

Purpose of Review: Three-dimensional quantitative coronary angiography-based methods of fractional flow reserve (FFR) derivation have emerged as an appealing alternative to conventional pressure-wire-based physiological lesion assessment and have the potential to further extend the use of physiology in general. Here, we summarize the current evidence related to angiography-based FFR and perspectives on future developments.<br />Recent Findings: Growing evidence suggests good diagnostic performance of angiography-based FFR measurements, both in chronic and acute coronary syndromes, as well as in specific lesion subsets, such as long and calcified lesions, left main coronary stenosis, and bifurcations. More recently, promising results on the superiority of angiography-based FFR as compared to angiography-guided PCI have been published. Currently available angiography -FFR indices proved to be an excellent alternative to invasive pressure wire-based FFR. Dedicated prospective outcome data comparing these indices to routine guideline recommended PCI including the use of FFR are eagerly awaited.<br /> (© 2022. The Author(s).)

Details

Language :
English
ISSN :
1534-3170
Volume :
24
Issue :
6
Database :
MEDLINE
Journal :
Current cardiology reports
Publication Type :
Academic Journal
Accession number :
35435570
Full Text :
https://doi.org/10.1007/s11886-022-01687-4