Advancements and future perspectives in coronary angiography-derived fractional flow reserve

Prog Cardiovasc Dis. 2024 Aug 8:S0033-0620(24)00111-7. doi: 10.1016/j.pcad.2024.08.002. Online ahead of print.

Abstract

Angiography-derived fractional flow reserve (FFR) has emerged as a non-invasive technique to assess the functional significance of coronary artery stenoses. The clinical applications of angiography-derived FFR span a wide range of scenarios, including assessing intermediate coronary lesions and guiding revascularization decisions. This review paper aims to provide an overview of angiography-derived FFR, including its principles, clinical applications, and evidence supporting its accuracy and utility. Lastly, the review discusses future directions and ongoing research in the field, including the integration of angiography-derived FFR into routine clinical practice.

Keywords: Coronary angiography; Coronary physiology; Fractional flow reserve; Percutaneous coronary intervention.

Publication types

  • Review