The Impact of Fractional Flow Reserve on

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Nov 7, 2014 - Submit your Manuscript | www.austinpublishinggroup.com. Results. A total of 1,482 cardiac catheterizations were performed during the study ...
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Journal of Cardiovascular Disorders Research Article

The Impact of Fractional Flow Reserve on Revascularization Elgendy IY1, Choi C1,2 and Bavry AA1,2* 1 Department of Medicine, University of Florida, Gainesville, FL, USA 2 North Florida/South Georgia Veterans Health System, Gainesville, FL, USA *Corresponding author: Bavry AA, Department of Medicine, University of Florida, Malcom Randall Veterans Administration Medical Center Medical Service, Cardiology Section (111-D) 1601 SW Archer Rd., Gainesville, FL 32608, USA, Tel: (352) 273-9076; Fax: (352) 846-0314; Email: [email protected] Received: September 16, 2014; Accepted: November 05, 2014; Published: November 07, 2014

Abstract Background: Fractional Flow Reserve (FFR) is recommended by society guidelines for assessment of the hemodynamic significance of intermediate coronary lesions when non-invasive evidence of myocardial ischemia is unavailable. However, little information is known about how FFR impacts revascularization decisions. Methods: We enrolled all patients referred for coronary angiogram for any indication at our institution from the period from May 2012 until January 2014. FFR was measured in all intermediate coronary lesions (30–70% stenosis). Based on the FFR results, the lesions were categorized into 3 different groups: FFR >0.80 (non-ischemic), FFR 0.75–0.80 (grey-zone), and FFR 0.80 (non-ischemic), FFR 0.75–0.80 (greyzone), and FFR