A Practical Guide for Fractional Flow Reserve Guided Revascularisation

Abdul Rahman Ihdayhid; Andy Yong; Richard Harper; Jamie Rankin; Christopher Wong; Adam J. Brown; Michael Leung; Brian Ko

doi:10.1016/j.hlc.2017.09.017

A Practical Guide for Fractional Flow Reserve Guided Revascularisation

Abdul Rahman Ihdayhid, Andy Yong, Richard Harper, Jamie Rankin, Christopher Wong, Adam J. Brown, Michael Leung, Brian Ko

Medicine Monash Health

Research output: Contribution to journal › Review Article › Research › peer-review

17 Citations (Scopus)

Abstract

The presence and extent of myocardial ischaemia is a major determinant of prognosis and benefit from revascularisation in patients with stable coronary artery disease. Fractional Flow Reserve (FFR) is accepted as the reference standard for invasive assessment of ischaemia. Its ability to detect lesion specific ischaemia makes it a useful test in a wide range of patient and lesion subsets, with FFR guided intervention improving clinical outcomes and reducing health care costs compared to assessment with coronary angiography alone. This article will review the basic principles in FFR, practical tips in FFR guided revascularisation and the role of emerging non-hyperaemic indices of ischaemia.

Original language	English
Pages (from-to)	406-419
Number of pages	14
Journal	Heart Lung and Circulation
Volume	27
Issue number	4
DOIs	https://doi.org/10.1016/j.hlc.2017.09.017
Publication status	Published - 1 Apr 2018

Keywords

Coronary artery disease
Fractional flow reserve
Functional assessment
Percutaneous coronary intervention

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10.1016/j.hlc.2017.09.017

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title = "A Practical Guide for Fractional Flow Reserve Guided Revascularisation",

abstract = "The presence and extent of myocardial ischaemia is a major determinant of prognosis and benefit from revascularisation in patients with stable coronary artery disease. Fractional Flow Reserve (FFR) is accepted as the reference standard for invasive assessment of ischaemia. Its ability to detect lesion specific ischaemia makes it a useful test in a wide range of patient and lesion subsets, with FFR guided intervention improving clinical outcomes and reducing health care costs compared to assessment with coronary angiography alone. This article will review the basic principles in FFR, practical tips in FFR guided revascularisation and the role of emerging non-hyperaemic indices of ischaemia.",

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AU - Ihdayhid, Abdul Rahman

AU - Yong, Andy

AU - Harper, Richard

AU - Rankin, Jamie

AU - Wong, Christopher

AU - Brown, Adam J.

AU - Leung, Michael

AU - Ko, Brian

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N2 - The presence and extent of myocardial ischaemia is a major determinant of prognosis and benefit from revascularisation in patients with stable coronary artery disease. Fractional Flow Reserve (FFR) is accepted as the reference standard for invasive assessment of ischaemia. Its ability to detect lesion specific ischaemia makes it a useful test in a wide range of patient and lesion subsets, with FFR guided intervention improving clinical outcomes and reducing health care costs compared to assessment with coronary angiography alone. This article will review the basic principles in FFR, practical tips in FFR guided revascularisation and the role of emerging non-hyperaemic indices of ischaemia.

AB - The presence and extent of myocardial ischaemia is a major determinant of prognosis and benefit from revascularisation in patients with stable coronary artery disease. Fractional Flow Reserve (FFR) is accepted as the reference standard for invasive assessment of ischaemia. Its ability to detect lesion specific ischaemia makes it a useful test in a wide range of patient and lesion subsets, with FFR guided intervention improving clinical outcomes and reducing health care costs compared to assessment with coronary angiography alone. This article will review the basic principles in FFR, practical tips in FFR guided revascularisation and the role of emerging non-hyperaemic indices of ischaemia.

KW - Coronary artery disease

KW - Fractional flow reserve

KW - Functional assessment

KW - Percutaneous coronary intervention

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A Practical Guide for Fractional Flow Reserve Guided Revascularisation

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Keywords

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