Lecture given by Dr. Mario Araya (Chile) on FFR, IVUS and CTO in acute coronary syndromes at SOLACI-SBHCI’16, Rio de Janeiro, Brazil. Recorded by TV Med – June 8, 2016.
The use of FFR in multivessel disease
Location: Aloysio de Castro State Cardiology Institute – (IECAC). Operators: Fernando Sant`Anna, Marcus Lacativa. Chairpersons: Sérgio Luiz Navarro Braga, Cyro Vargues Rodrigues. Panelists: Fernando Mendes Santanna, José Mariani Junior, Paulo Sérgio de Oliveira, José Carlos Raimundo Brito, Erick Hornes. Broacasted June 9, 2016 by TBR Productions.
Severity of Lesions Assessed by FFR in Coronary Disease: Is It Associated with Major Events?
In patients with coronary disease, the prognosis depends on the extent and reversibility of myocardial ischemia. Whether the outcome also depends on the severity of stenosis as determined by fractional flow reserve (FFR) has not been studied yet. This study investigates the relationship between fractional flow reserve values and vessel-related events. Major adverse cardiovascular...
FUTURE: Mortality Increase in the FFR Arm, Real or Casual?
The FUTURE study, testing the utility of functional revascularization by measuring the fractional flow reserve (FFR), was halted early by its safety committee due to an increased mortality rate at 1 year among patients guided by FFR. In this unexpected unprecedented outcome, 17 patients in the FFR-guided group died at a year of follow-up, compared with 7 patients...
Deferring Lesions by FFR in ACS: Yes or No?
Deferring treatment through angioplasty in non-ischemic lesions by fractional flow reserve (FFR) is associated with excellent long-term prognosis in patients with chronic ischemic heart disease. FFR is beginning to be used for clinical decision-making in patients with acute coronary syndromes, and its long-term effect on stable chronic patients has not been established. This...
Contrast Induced FFR: Cost and Time Effective Alternative
Courtesy of Dr. Guillermo Migliaro. Fractional flow reserve (FFR) is the radio of two flows expressed as the ratio of two pressures ─ distal pressure across stenosis (Pd) to aortic pressure (pa) ─ obtained only under maximal coronary hyperemia, which is a state of drug induced maximal vasodilation. The gold standard to create...
Post PCI FFR Reduces MACE
Original Title: Utilizing Post-Intervention Fractional Flow Reserve to Optimize Acute Results and the Relationship to Long-Term Outcomes Reference: Shiv K. Agarwal, et al. JACC Cardiovascular Intervention 2016;9:1022-31 Courtesy of Dr. Carlos Fava. Fractional flow reserve has shown benefits and it is considered the gold standard to assess intermediate lesions (Class IA), but its...
Post PCI FFR: Outcome and Prognosis Optimization?
Original Title: Utilizing Post-Intervention Fractional Flow Reserve to Optimize Acute Results and the Relationship to Long-Term Outcomes Reference: Shiv K. Agarwal et al. J Am Coll Cardiol Intv. 2016;9(10):1022-1031. Courtesy of Dr. Agustín Vecchia. At present, fractional flow reserve (FFR) has become the gold standard to define ischemia in intermediate lesions, and to...
SYNTAX II: Initial outcomes of FFR/iFR and IVUS guided PCI with last generation DES in 3 vessel patients
Original Title: iFR/FFR and IVUS-guided percutaneous coronary revascularization with new-generation DES in patients with de novo three-vessel disease: 30-day outcomes of the SYNTAX II trial. Presenter: P. W. Serruys. The European Society of Cardiology guidelines recommend PCI for patients with multivessel disease and a Syntax score. A prospective, multicenter, single arm study was carried...
PRIME-FFR: Safe in acute coronary syndrome
Original Title: Impact of routine Fractional Flow Reserve on management decision and 1-year clinical outcome of ACS patients: Insights from the POST-IT and R3F Integrated Multicenter registriEs –Implementation of FFR in Routine Practice (PRIME-FFR). Presenter: Luís Raposo. Supported by a large body of evidence, the use of fractional flow reserve (FFR) has clearly been...