The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)

EDITORIAL

Assessment of lesion functional significance with virtual FFR – are we going with the flow?

EuroIntervention 2014;10:535-538. DOI: 10.4244/EIJV10I5A94

1. National Heart Centre Singapore, Singapore; 2. International Centre for Circulatory Health and Imperial College London, London, United Kingdom
How best to treat intermediate coronary stenoses remains a dilemma for interventional cardiologists. The value of treating coronary stenosis by visual anatomical assessment alone in all but the most significant lesions, or in those with unstable coronary syndromes, is increasingly being challenged. The rationale for this is the increasing understanding that percutaneous coronary intervention (PCI) offers limited mortality benefit over and above medical therapy to patients with intermediate coronary disease. Whilst stenting for hard clinical outcomes is in counterpoise between PCI and medical therapy, accurate identification of patients with genuine ischaemia who are likely to gain from a significant reduction ...

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