Fractional Flow Reserve = Stent Only in Lesions Causing Ischemia = Protect the Value of PCI

From our sister publication Cath Lab Digest, an interesting post for interventionalists on making sure the right patient is on your table.

Cath Lab Digest

Interventionalists and cath lab teams want the right patient on their table as they go to work. Meaning the patient they are most likely to be able to help. Cath labs may be the only ones who don’t want to see clean arteries and healthy hearts, because it means Mr. Smith is a patient who didn’t need to be on the table in the first place. (True, a low level of normal caths are simply unavoidable, because medicine isn’t perfect, nor does it know all.)

Making sure that the patient in the lab is the right patient to be there — and then, something more difficult, making sure that a lesion is the right one to treat — has been a longtime conversation occurring in the interventional cardiology community.

Screen Shot 2013-06-27 at 3.11.21 PMIn the decision whether or not to treat intermediate lesions, fractional flow reserve, a method of physiologic lesion assessment, has proved…

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