Back to Search Start Over

The prognostic value of angiography-based vessel fractional flow reserve after percutaneous coronary intervention

Authors :
Tara Neleman
Alessandra Scoccia
Kaneshka Masdjedi
Mariusz Tomaniak
Jurgen M.R. Ligthart
Karen T. Witberg
Alise Vermaire
Quinten Wolff
Leon Visser
Paul Cummins
Isabella Kardys
Jeroen Wilschut
Roberto Diletti
Wijnand K. Den Dekker
Felix Zijlstra
Nicolas M. Van Mieghem
Joost Daemen
Cardiology
Source :
International Journal of Cardiology, 359, 14-19. Elsevier Ireland Ltd
Publication Year :
2022

Abstract

Background: Vessel Fractional Flow Reserve (vFFR) as assessed by three-dimensional quantitative coronary angiography has high correlation with pressure wire-based fractional flow reserve in both a pre- and post-PCI setting. The present study aims to assess the prognostic value of post-PCI vFFR on the incidence of target vessel failure (TVF), a composite endpoint of cardiac death, target vessel myocardial infarction and target vessel revascularization (TVR) at 5-year follow up. Methods: Post-PCI vFFR was calculated after routine PCI in a total of 748 patients (832 vessels) with available orthogonal angiographic projections of the stented segment. Results: Median age was 65 (IQR 55–74) years, 18.2% were diabetic, and 29.1% presented with stable angina. Median post-PCI vFFR was 0.91 (IQR 0.86–0.95). Vessels were categorized into tertiles based on post-PCI vFFR: low (vFFR

Details

Language :
English
ISSN :
01675273
Volume :
359
Database :
OpenAIRE
Journal :
International Journal of Cardiology
Accession number :
edsair.doi.dedup.....8c4741f5934e4f2f904a090bef63b42e