Fractional Flow Reserve–Based Coronary Artery Bypass Surgery: Current Evidence and Future Directions

Cristiano Spadaccio; David Glineur; Emanuele Barbato; Antonino Di Franco; Keith G. Oldroyd; Giuseppe Biondi-Zoccai; Filippo Crea; Stephen E. Fremes; Dominick J. Angiolillo; Mario Fulvio Luigi Gaudino

doi:10.1016/j.jcin.2019.12.017

Fractional Flow Reserve–Based Coronary Artery Bypass Surgery: Current Evidence and Future Directions

Cristiano Spadaccio, David Glineur, Emanuele Barbato, Antonino Di Franco, Keith G. Oldroyd, Giuseppe Biondi-Zoccai, Filippo Crea, Stephen E. Fremes, Dominick J. Angiolillo, Mario Fulvio Luigi Gaudino

Risultato della ricerca: Contributo in rivista › Articolo

10 Citazioni (Scopus)

Abstract

Fractional flow reserve (FFR) provides an objective measurement of the severity of ischemia caused by coronary stenoses in downstream myocardial regions. Data from the interventional cardiology realm have suggested benefits of a FFR-guided percutaneous coronary intervention (PCI) strategy. Limited evidence is available on the use of FFR to guide coronary artery bypass grafting (CABG). The most recent data have shown that FFR might simplify CABG procedures and optimize patency of arterial grafts without any clear impact on clinical outcomes. The aim of this review was to summarize the available data on FFR-based CABG and discuss the rationale and potential consequences of a switch toward FFR-based surgical revascularization strategy.

Lingua originale	Inglese
pagine (da-a)	1086-1096
Numero di pagine	11
Rivista	JACC: Cardiovascular Interventions
Volume	13
DOI	https://doi.org/10.1016/j.jcin.2019.12.017
Stato di pubblicazione	Pubblicato - 2020

Keywords

CABG
Cardiac Catheterization
Coronary Angiography
Coronary Artery Bypass
Coronary Artery Disease
FFR
Fractional Flow Reserve, Myocardial
Humans
Predictive Value of Tests
Treatment Outcome
Vascular Patency
myocardial revascularization

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title = "Fractional Flow Reserve–Based Coronary Artery Bypass Surgery: Current Evidence and Future Directions",

abstract = "Fractional flow reserve (FFR) provides an objective measurement of the severity of ischemia caused by coronary stenoses in downstream myocardial regions. Data from the interventional cardiology realm have suggested benefits of a FFR-guided percutaneous coronary intervention (PCI) strategy. Limited evidence is available on the use of FFR to guide coronary artery bypass grafting (CABG). The most recent data have shown that FFR might simplify CABG procedures and optimize patency of arterial grafts without any clear impact on clinical outcomes. The aim of this review was to summarize the available data on FFR-based CABG and discuss the rationale and potential consequences of a switch toward FFR-based surgical revascularization strategy.",

keywords = "CABG, Cardiac Catheterization, Coronary Angiography, Coronary Artery Bypass, Coronary Artery Disease, FFR, Fractional Flow Reserve, Myocardial, Humans, Predictive Value of Tests, Treatment Outcome, Vascular Patency, myocardial revascularization, CABG, Cardiac Catheterization, Coronary Angiography, Coronary Artery Bypass, Coronary Artery Disease, FFR, Fractional Flow Reserve, Myocardial, Humans, Predictive Value of Tests, Treatment Outcome, Vascular Patency, myocardial revascularization",

author = "Cristiano Spadaccio and David Glineur and Emanuele Barbato and \{Di Franco\}, Antonino and Oldroyd, \{Keith G.\} and Giuseppe Biondi-Zoccai and Filippo Crea and Fremes, \{Stephen E.\} and Angiolillo, \{Dominick J.\} and Gaudino, \{Mario Fulvio Luigi\}",

year = "2020",

doi = "10.1016/j.jcin.2019.12.017",

language = "English",

volume = "13",

pages = "1086--1096",

journal = "JACC: Cardiovascular Interventions",

issn = "1936-8798",

publisher = "Elsevier Inc.",

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T1 - Fractional Flow Reserve–Based Coronary Artery Bypass Surgery: Current Evidence and Future Directions

AU - Spadaccio, Cristiano

AU - Glineur, David

AU - Barbato, Emanuele

AU - Di Franco, Antonino

AU - Oldroyd, Keith G.

AU - Biondi-Zoccai, Giuseppe

AU - Crea, Filippo

AU - Fremes, Stephen E.

AU - Angiolillo, Dominick J.

AU - Gaudino, Mario Fulvio Luigi

PY - 2020

Y1 - 2020

N2 - Fractional flow reserve (FFR) provides an objective measurement of the severity of ischemia caused by coronary stenoses in downstream myocardial regions. Data from the interventional cardiology realm have suggested benefits of a FFR-guided percutaneous coronary intervention (PCI) strategy. Limited evidence is available on the use of FFR to guide coronary artery bypass grafting (CABG). The most recent data have shown that FFR might simplify CABG procedures and optimize patency of arterial grafts without any clear impact on clinical outcomes. The aim of this review was to summarize the available data on FFR-based CABG and discuss the rationale and potential consequences of a switch toward FFR-based surgical revascularization strategy.

AB - Fractional flow reserve (FFR) provides an objective measurement of the severity of ischemia caused by coronary stenoses in downstream myocardial regions. Data from the interventional cardiology realm have suggested benefits of a FFR-guided percutaneous coronary intervention (PCI) strategy. Limited evidence is available on the use of FFR to guide coronary artery bypass grafting (CABG). The most recent data have shown that FFR might simplify CABG procedures and optimize patency of arterial grafts without any clear impact on clinical outcomes. The aim of this review was to summarize the available data on FFR-based CABG and discuss the rationale and potential consequences of a switch toward FFR-based surgical revascularization strategy.

KW - CABG

KW - Cardiac Catheterization

KW - Coronary Angiography

KW - Coronary Artery Bypass

KW - Coronary Artery Disease

KW - FFR

KW - Fractional Flow Reserve, Myocardial

KW - Humans

KW - Predictive Value of Tests

KW - Treatment Outcome

KW - Vascular Patency

KW - myocardial revascularization

KW - CABG

KW - Cardiac Catheterization

KW - Coronary Angiography

KW - Coronary Artery Bypass

KW - Coronary Artery Disease

KW - FFR

KW - Fractional Flow Reserve, Myocardial

KW - Humans

KW - Predictive Value of Tests

KW - Treatment Outcome

KW - Vascular Patency

KW - myocardial revascularization

UR - http://hdl.handle.net/10807/166835

U2 - 10.1016/j.jcin.2019.12.017

DO - 10.1016/j.jcin.2019.12.017

M3 - Article

SN - 1936-8798

VL - 13

SP - 1086

EP - 1096

JO - JACC: Cardiovascular Interventions

JF - JACC: Cardiovascular Interventions

ER -

Fractional Flow Reserve–Based Coronary Artery Bypass Surgery: Current Evidence and Future Directions

Abstract

Keywords

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