PulseExploreJournal ClubDebatesTrendingResearchersJournals
Instagram
HomeExploreJournal ClubTrending
Synapse
⌘+K
Synapse
March 18, 2017New England Journal of Medicine982 citationsOpen Access

Use of the Instantaneous Wave-free Ratio or Fractional Flow Reserve in PCI

View Full Paper
JDJustin E. DaviesSSSayan SenHDHakim‐Moulay Dehbi

Key Result

Coronary revascularization guided by iFR was noninferior to FFR for major adverse cardiac events, with fewer adverse signs and shorter procedural time using iFR.

Structured PICO

Does iFR-guided coronary revascularization prevent major adverse cardiac events at 1 year as effectively as FFR-guided revascularization in patients undergoing PCI?

P
Population
Patients undergoing percutaneous coronary intervention (PCI)
I
Intervention
Coronary revascularization guided by instantaneous wave-free ratio (iFR)
C
Comparator
Coronary revascularization guided by fractional flow reserve (FFR)
O
Outcome
Risk of major adverse cardiac events at 1 yearcomposite

iFR-guided PCI is noninferior to FFR-guided PCI for 1-year major adverse cardiac events, while offering shorter procedural times and fewer adverse procedural symptoms.

Abstract

Coronary revascularization guided by iFR was noninferior to revascularization guided by FFR with respect to the risk of major adverse cardiac events at 1 year. The rate of adverse procedural signs and symptoms was lower and the procedural time was shorter with iFR than with FFR. (Funded by Philips Volcano; DEFINE-FLAIR ClinicalTrials.gov number, NCT02053038 .).

Ask AI
Helpful
Bookmark
Share
View Full Paper

Cite This Study

Davies et al. (2017) studied this question. Coronary revascularization guided by iFR was noninferior to FFR for major adverse cardiac events, with fewer adverse signs and shorter procedural time using iFR.

synapsesocial.com/papers/6970ddc8cfea4c1fcf6a58d3https://doi.org/10.1056/nejmoa1700445
Ask AI
Helpful
Bookmark
Share
View Full Paper