2022, Number 3
Fractional Flow Reserve Guided PCI as Compared with Coronary Bypass Surgery. “BUT will they respect it?”
Language: English
References: 7
Page: 41-42
PDF size: 128.27 Kb.
Text Extraction
I have read the article that was recently published on New England Journal of Medicine by Fearon et al. It is a multicenter, international, noninferiority trial, in which patients with three-vessel coronary artery disease were randomly assigned to undergo Coronary Artery Bypass Graft (CABG) or Fractional Flow Reserve Guided (FFR-guided) Percutaneous Coronary Intervention (PCI) with current-generation zotarolimus-eluting stents. The primary end point was the occurrence within 1-year of a major adverse cardiac or cerebrovascular event, defined as death from any cause, myocardial infarction, stroke, or repeat revascularization. Noninferiority of FFR-guided PCI to CABG was prespecified as an upper limit of less than 1.65 for the 95% confidence interval of the hazard ratio. Secondary end points included a composite of death, myocardial infarction, or stroke; safety was also assessed.REFERENCES
Lawton JS, Tamis-Holland JE, Bangalore S, et al. 2021 ACC/AHA/SCAI Guidelinefor Coronary Artery Revascularization: Executive Summary: A Report of theAmerican College of Cardiology/American Heart Association Joint Committeeon Clinical Practice Guidelines. Circulation. 2022;145(3):e4-e17. doi: 10.1161/CIR.0000000000001039.
Mäkikallio T, Holm NR, Lindsay M, et al.; NOBLE study investigators. Percutaneouscoronary angioplasty versus coronary artery bypass grafting in treatment ofunprotected left main stenosis (NOBLE): a prospective, randomised, open-label,non-inferiority trial. Lancet. 2016;388(10061):2743-2752. doi: 10.1016/S0140-6736(16)32052-9.