Fractional flow reserve guided coronary artery bypass grafting - new developments and future perspectives

Abstract

The potential role of fractional flow reserve (FFR) in coronary artery bypass grafting (CABG) planning and post-CABG patency assessment are currently under intense investigation to determine whether the favourable outcomes reported with FFR-guided percutaneous coronary intervention can be translated to surgical practice. This review provides an overview of the principles that guide FFR measurement, the clinical evolution of FFR in CABG practice, the much anticipated outcomes of recent investigations that compare FFR-guided and angiography guided CABG and outlines the potential of alternative technology that may assist in ensuring ongoing improvement in surgical revascularization outcomes.

Keywords

Coronary artery bypass grafting / percutaneous coronary intervention / fractional flow reserve / outcomes

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