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Outcomes of fractional flow reserve-based deferral in saphenous vein graft narrowing

The American Journal of Cardiology Jun 16, 2018

Almomani A, et al. - Considering the value of fractional flow reserve (FFR) in clinical decision-making for revascularization in intermediate coronary stenosis in native coronary arteries of patients with stable coronary disease, researchers investigated the prognostic value of deferring intervention on lesions with FFR > 0.8 in saphenous vein graft (SVG) lesions. Consecutive patients for whom PCI was deferred based on an FFR > 0.8 for intermediate native coronary artery or SVG stenosis were investigated for clinical, angiographic, hemodynamic variables and long-term outcomes. Observations revealed a significantly worse prognosis in SVG vs non-SVG lesions in association with non-ischemic FFR, however caution was urged in utilizing FFR for clinical decision-making in SVG lesions.

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