February 10th, 2011
What’s Keeping Us from Using FFR?
A recent study of PCI in subjects with multivessel CAD showed that procedure costs were lower when a management strategy based on the results of fractional flow reserve (FFR) measurements was employed. The FFR-based strategy resulted in fewer stents used, which more than offset the cost of the FFR pressure wire.
Even though FFR-guided PCI has been shown to improve outcomes, it appears to be underutilized. We want to know how often you use FFR when angiography demonstrates a coronary stenosis of “intermediate” severity (i.e., < 75% narrowing).
If you don’t use FFR in most cases, is it because FFR (1) prolongs the procedure, (2) is of questionable benefit, or (3) is too costly? Or, do you have another reason and if so, what is it?