Long-Term Clinical Outcome After Fractional Flow Reserve–Guided Percutaneous Coronary Revascularization in Patients With Small-Vessel Disease | Zendy

Étienne Puymirat | Zendy; Aaron Peace | Zendy; Fabio Mangiacapra | Zendy; Micaela Conte | Zendy; Yiannis Ntarladimas | Zendy; Jozef Bartúnek | Zendy; Marc Vanderheyden | Zendy; William Wijns | Zendy; Bernard De Bruyne | Zendy; Emanuele Barbato | Zendy

Open Access

Long-Term Clinical Outcome After Fractional Flow Reserve–Guided Percutaneous Coronary Revascularization in Patients With Small-Vessel Disease

Author(s) -

Étienne Puymirat,

Aaron Peace,

Fabio Mangiacapra,

Micaela Conte,

Yiannis Ntarladimas,

Jozef Bartúnek,

Marc Vanderheyden,

William Wijns,

Bernard De Bruyne,

Emanuele Barbato

Publication year - 2012

Publication title -

circulation cardiovascular interventions

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 2.621

H-Index - 95

eISSN - 1941-7632

pISSN - 1941-7640

DOI - 10.1161/circinterventions.111.966937

Subject(s) - medicine , conventional pci , fractional flow reserve , percutaneous coronary intervention , cardiology , myocardial infarction , mace , hazard ratio , revascularization , unstable angina , coronary artery disease , angina , stent , confidence interval , coronary angiography

Small coronary vessels supply small myocardial territories. The clinical significance of small-vessel stenoses is therefore questionable. Moreover, percutaneous coronary intervention (PCI) of nonfunctionally significant lesions does not improve clinical outcome and might be associated with potential procedural or stent related risks. The aim of this study was to assess the clinical outcome of fractional flow reserve (FFR)-guided PCI in the treatment of small coronary vessel lesions as compared with an angio-guided PCI.

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