Angiography-Based Fractional Flow Reserve: State of the Art

被引：25

作者：

Scoccia, Alessandra ^{[1
]}

Tomaniak, Mariusz ^{[1
,2
]}

Neleman, Tara ^{[1
]}

Groenland, Frederik T. W. ^{[1
]}

Plantes, Annemieke C. Ziedses des ^{[1
]}

Daemen, Joost ^{[1
]}

机构：

[1] Erasmus MC, Dept Cardiol, Room Rg-628,POB 2040, NL-3000 CA Rotterdam, Netherlands

[2] Med Univ Warsaw, Dept Cardiol 1, Warsaw, Poland

来源：

CURRENT CARDIOLOGY REPORTS | 2022年 / 24卷 / 06期

关键词：

Angiography-based FFR; Percutaneous coronary intervention; Functional lesion assessment; Quantitative flow ratio; Vessel FFR; FFRangio; QUANTITATIVE CORONARY-ANGIOGRAPHY; DIAGNOSTIC-ACCURACY; FUNCTIONAL ASSESSMENT; PROGNOSTIC VALUE; GUIDED PCI; FOLLOW-UP; PRESSURE; STENOSES; INTERVENTION; RATIO;

D O I：

10.1007/s11886-022-01687-4

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Purpose of Review Three-dimensional quantitative coronary angiography-based methods of fractional flow reserve (FFR) derivation have emerged as an appealing alternative to conventional pressure-wire-based physiological lesion assessment and have the potential to further extend the use of physiology in general. Here, we summarize the current evidence related to angiography-based FFR and perspectives on future developments. Recent Findings Growing evidence suggests good diagnostic performance of angiography-based FFR measurements, both in chronic and acute coronary syndromes, as well as in specific lesion subsets, such as long and calcified lesions, left main coronary stenosis, and bifurcations. More recently, promising results on the superiority of angiography-based FFR as compared to angiography-guided PCI have been published. Currently available angiography -FFR indices proved to be an excellent alternative to invasive pressure wire-based FFR. Dedicated prospective outcome data comparing these indices to routine guideline recommended PCI including the use of FFR are eagerly awaited.

引用

页码：667 / 678

页数：12

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