Trans-lesional fractional flow reserve gradient as derived from coronary CT improves patient management: ADVANCE registry
Hidenobu Takagi, Jonathon Leipsic, Noah McNamara, Isabella Martin, Timothy Fairbairn, Takashi Akasaka, Bjarne Linde Nørgaard, Daniel S. Berman, Kavitha M. Chinnaiyan, Lynne M. Hurwitz-Koweek, Gianluca Pontone, Tomohiro Kawasaki, Niels Peter Rønnow Sand, Jesper Møller Jensen, Tetsuya Amano, Michael Poon, Kristian Altern Øvrehus, Jeroen Sonck, Mark Rabbat, Sarah Mullen, Bernard De Bruyne, Campbell Rogers, Hitoshi Matsuo, Jeroen J. Bax, Pamela S. Douglas, Manesh R. Patel, Koen Nieman, Abdul Rahman Ihdayhid
Abstract
BACKGROUND: ) in guiding downstream testing in patients with stable coronary artery disease (CAD) is unknown. OBJECTIVES: in predicting early revascularization and improving efficiency of catheter laboratory utilization. MATERIALS: across visible stenosis. RESULTS: >0.13, would potentially reduce ICA by 32.2% (1638-1110, p < 0.001) and improve the revascularization to ICA ratio from 65.2% to 73.1%. CONCLUSIONS: has the potential to aid decision-making for ICA referral and improve efficiency of catheter laboratory utilization.