Angiography-Based Physiology to Guide Coronary Revascularization - PubMed
7 hours ago
- #coronary revascularization
- #angio-based physiology
- #vFFR vs FFR
- Study compares angiography-based vessel fractional flow reserve (vFFR) vs. pressure-wire-based FFR for guiding revascularization in intermediate coronary lesions.
- International randomized noninferiority trial at 37 European sites included patients with chronic or acute coronary syndromes.
- Primary endpoint (composite of death, myocardial infarction, or revascularization at 1 year) showed no significant difference between vFFR and FFR groups.
- vFFR-guided revascularization is noninferior to FFR-guided, with similar rates of serious adverse events.
- Findings support using vFFR derived from 3D quantitative coronary angiography as an alternative to traditional FFR.