Coronary Artery Disease, Plaque, Atherosclerotic
Conditions
Keywords
atherosclerotic lesion assessment
Brief summary
Comparison of Fractional Flow Reserve versus instant Wave-Free Ratio for assessment of coronary artery stenosis severity in routine practice * To compare FFR to iFR in arbitrary consecutive patients referred for percutaneous coronary intervention (PCI). * To investigate the influence of hyperemia on iFR. * To test reproducibility of iFR and FFR.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* all consecutive patients undergoing FFR assessment for standard clinical indications.
Exclusion criteria
* prior CABG * extremely tortuous, calcified lesions * coronary artery occlusion * acute MI within 5 days
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Comparison of Fractional Flow Reserve vs. instant Wave-Free Ratio for assessment of coronary artery stenosis severity in routine practice | 30 days | In this prospective, multicenter, international investigation, all consecutive patients in 5 centers, referred for PCI will be included. FFR will be submitted for one vessel in each patient - this will be the first vessel in which the FFR is performed. Measurements will be performed in duplicate. iFR will be calculated for all lesions for which an FFR measurement is submitted. In addition, iFR and FFR will be compared retrospectively in 1000 patients who had FFR measurements in the recent past |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| iFR at rest vs iFr during hyperemia | 30 days | iFR is said to be independent of hyperemia. Accordingly a secondary outcome of this study will be a paired comparison of iFR at rest vs iFr with adenosine induced hyperemia. |
| Repeatability of iFr and FFR | 30 days | To test repeatability of iFR and FFR |
Countries
Belgium, Czechia, Netherlands, Sweden, United States