Home > Cardiology > ACC 2021 > Interventional and Structural Cardiology > Similar outcomes with fractional flow reserve and angiography-guided revascularisation

Similar outcomes with fractional flow reserve and angiography-guided revascularisation

Presented By
Dr Etienne Puymirat, Hôpital Européen Georges-Pompidou
Conference
ACC 2021
Trial
FLOWER-MI
Fractional flow reserve (FFR)-guided revascularisation did not demonstrate benefit over angiography-guided revascularisation in the FLOWER-MI trial [1,2]. In patients with ST-elevated myocardial infarction (STEMI) and multivessel disease (MVD), complete revascularisation is associated with better clinical outcomes than culprit lesion only revascularisation. However, it remained unclear whether FFR could be useful in guiding revascularisation of non-culprit lesions in STEMI patients with MVD. Angiography-based visual assessment of the degree of coronary artery stenosis is not a reliable indicator of haemodynamically significant obstruction; therefore, FFR can help guide appropriate decisions regarding percutaneous coronary intervention (PCI) of those vessels with significant lesions. However, trials investigating the use of FFR-guided revascularisation in patients with STEMI and MVD were lacking. To this end, the FLOWER-MI study (


Please login to read the full text of the article.


If you have no account yet, please register now.





Posted on