Use of fractional flow reserve in patients with coronary artery disease: The right choice for the right outcome

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• 作者：Jae Yoon Park ; MD ; Amir Lerman ; MD ; Joerg Herrmann ; MD ; ^{herrmann.joerg@mayo.edu}
• 关键词：Fractional flow reserve ; Coronary artery disease
• 刊名：Trends in Cardiovascular Medicine
• 出版年：2017
• 出版时间：February 2017
• 年：2017
• 卷：27
• 期：2
• 页码：106-120
• 全文大小：965 K
• 卷排序：27

文摘

Despite advances in therapy, coronary artery disease (CAD) remains the leading cause of morbidity and mortality worldwide. Over the past years, the utilization of revascularization procedures has been refined, and in the best interest of the patient and to reduce the healthcare burden of CAD, it is paramount that patients are appropriately selected for therapies aiming at improving their symptoms and prognosis. Fractional flow reserve (FFR) is the current invasive standard test to identify hemodynamically significant coronary artery stenoses with resultant implications for revascularization and clinical outcomes. In this review, we discuss the current evidence behind the use of FFR as well as new trends in the application of this technique to help guide clinicians in making the best management decisions for patients with CAD.