Fractional Flow Reserve–Guided Multivessel Angioplasty in Myocardial Infarction

2017723 citationsJournal Articlebronze Open Access

Authors

Pieter C. Smits · Maasstad Ziekenhuis

Mohamed Abdel‐Wahab · Segeberger Kliniken

Franz–Josef Neumann · Universitäts-Herzzentrum Freiburg-Bad Krozingen

Bianca M. Boxma‐de Klerk

Ketil Lunde · Rigshospitalet

Carl E. Schotborgh · Haga Hospital

Zsolt Piróth · Gottsegen National Cardiovascular Center

Abstract

In patients with STEMI and multivessel disease who underwent primary PCI of an infarct-related artery, the addition of FFR-guided complete revascularization of non-infarct-related arteries in the acute setting resulted in a risk of a composite cardiovascular outcome that was lower than the risk among those who were treated for the infarct-related artery only. This finding was mainly supported by a reduction in subsequent revascularizations. (Funded by Maasstad Cardiovascular Research and others; Compare-Acute ClinicalTrials.gov number, NCT01399736 .).

Topics & Keywords

Coronary Interventions and Diagnostics Acute Myocardial Infarction Research Cardiac Imaging and Diagnostics

UN Sustainable Development Goals

Good health and well-being

Publication Details

Published in: New England Journal of Medicine

Volume 376, Issue 13, pp. 1234-1244

DOI: 10.1056/nejmoa1701067

Field-Weighted Citation Impact: 79.72