Daniel A. Zanuttini2012-08-07 Hospital Cardiológico CostantiniFoundaction Francisco CostantiniCuritiba – Brazil

Lucio Padilla2014-04-22 Instituto Cardiovascular Buenos AiresICBA

Fundamentos e objetivos: &nbsp;A reserva de fluxo fracionada (FFR) Invasiva &eacute; uma ferramenta bem validada e reprodut&iacute;vel para a detec&ccedil;&atilde;o de les&atilde;o causadora de isquemia. Em pacientes com doen&ccedil;a multiarterial uma estrat&eacute;gia PCI FFR-dirigida &eacute; associada a melhores resultados cl&iacute;nicos em compara&ccedil;&atilde;o &agrave; PCI angiografia- dirigida. No estudo pr&eacute;vio RIPCORD, quando a FFR invasiva estava<a href="https://solaci.org/en/2015/06/24/estudo-ffrct-ripcord-a-ffr-derivada-da-angiotomografia-de-coronarias-pode-mudar-a-estrategia-terapeutica-2/" title="Read more" >...</a>

This is an observational, prospective, multicenter study using optical coherence tomography (OCT) and measurement of fractional flow reserve (FFR) before and after angioplasty. Inpatient following up was set at one month, six months, and one year. Before performing the OCT, the planned strategy was recorded and surgeons were free to change the strategy. The strategy<a href="https://solaci.org/en/2015/06/24/ilumien-i-results-of-the-angioplasty-indicated-by-ffr-and-controlled-by-oct/" title="Read more" >...</a>

The aim of this study was to compare the usefulness of primary angioplasty only to culprit vessel versus complete revascularization guided by fractional flow reserve (FFR) in patients admitted pursuing an acute myocardial infarction with ST-segment elevation and have multiple injuries vessels. After a successful primary angioplasty to culprit artery, patients were randomized 1:1 to<a href="https://solaci.org/en/2015/06/24/danami3-primary-angioplasty-to-culprit-vessel-versus-multivessel-guided-by-ffr/" title="Read more" >...</a>

The benefit of myocardial revascularization (angioplasty or surgery) guided by fractional flow reserve (FFR) in the context of acute coronary syndromes is poorly studied in the literature. The aim of this study was to compare myocardial revascularization guided by FFR versus Angiography in patients admitted suffering a non-ST segment elevation myocardial infarction. 350 patients were<a href="https://solaci.org/en/2015/06/24/famous-nstemi-ffr-versus-angiography-in-non-st-segment-elevation-myocardial-infarction/" title="Read more" >...</a>

The aim of this study was to compare angioplasty guided by fractional flow reserve (FFR) versus conventional angiography in bifurcations treated with provisional stent technique for lateral branch. The study included patients with bifurcations 1,1,1 or 0,1,1 of Medina classification and lateral branches, superior to 2.5 mm. 2nd generation pharmacological stents were used.&nbsp; After stent<a href="https://solaci.org/en/2015/06/24/dkcrush-vi-ffr-versus-conventional-angiography-in-true-bifurcations-and-provisional-stent/" title="Read more" >...</a>

The use of FFR to guide treatment showed improved outcomes in previous studies. However, there are few data on the routine use of the method and its impact on modifying therapeutic decisions for injury and by patient. The aim of this study was to evaluate the routine use of FFR in the real world. All<a href="https://solaci.org/en/2015/06/24/post-it-the-ffr-modifies-strategy-in-almost-half-of-patients/" title="Read more" >...</a>

This randomized trial with an initial plan to include 1832 patients, compared stent implantation guided by fractional flow reserve (FFR) versus optimal medical treatment. In this study, we invasively evaluated the severity of lesion by FFR. Of this population, only patients who had lesions with significant translesional gradient (FFR &lt;0.9) were included in the study<a href="https://solaci.org/en/2015/06/24/fame-ii-this-randomized-trial-compared-a-stent-implantation-guided-by-fractional-flow-reserve-ffr-with-optimal-medical-treatment/" title="Read more" >...</a>

The DISCOVER FLOW trial has recently showed an excellent correlation between fractional flow reserve values (FFR) traditionally obtained with coronary CT angiography (CCTA) and the ones obtained with a non invasive technology derived from multi slice computerized tomography (MSCT). Researchers used a novel technology that allows deriving non invasive FFR from MSCT data. Dr. Bon-Kwon<a href="https://solaci.org/en/2015/06/24/discover-flow-correlation-of-conventional-ffr-vs-non-invasive-ffr-obtained-with-msct-for-successful-stenting/" title="Read more" >...</a>