{"id":6403,"date":"2011-02-10T16:19:45","date_gmt":"2011-02-10T21:19:45","guid":{"rendered":"http:\/\/blogs.nejm.org\/cardioexchange\/?p=6403"},"modified":"2011-07-19T17:44:14","modified_gmt":"2011-07-19T21:44:14","slug":"whats-keeping-us-from-using-ffr","status":"publish","type":"post","link":"https:\/\/blogs.nejm.org\/cardioexchange\/2011\/02\/10\/whats-keeping-us-from-using-ffr\/","title":{"rendered":"What&#8217;s Keeping Us from Using FFR?"},"content":{"rendered":"<p><a href=\"http:\/\/circ.ahajournals.org\/cgi\/content\/abstract\/122\/24\/2545\">A recent study of PCI in subjects with multivessel CAD<\/a> 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.<\/p>\n<p>Even though <a href=\"http:\/\/cardiology.jwatch.org\/cgi\/content\/full\/2009\/114\/1\">FFR-guided PCI has been shown to improve outcomes<\/a>, it appears to be underutilized. We want to know how often you use FFR when angiography demonstrates a coronary stenosis of \u201cintermediate\u201d severity (i.e., &lt; 75% narrowing).<\/p>\n<p><script src=\"http:\/\/survey.constantcontact.com\/poll\/a07e3dwb1lpgk01onh7\/start.js?v=1&amp;w=300\" type=\"text\/javascript\">\n<\/script><noscript>JavaScript needs to be enabled for polling to work.<br \/>\n<\/noscript><\/p>\n<p>If you don\u2019t use FFR in most cases, is it because FFR <strong>(1)<\/strong> prolongs the procedure,<strong> (2)<\/strong> is of questionable benefit, or <strong>(3) <\/strong>is too costly? Or, do you have another reason and if so, what is it?<\/p>\n","protected":false},"excerpt":{"rendered":"<p>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 [&hellip;]<\/p>\n","protected":false},"author":214,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[693,692,301],"class_list":["post-6403","post","type-post","status-publish","format-standard","hentry","category-interventional-cardiology","tag-fame","tag-fractional-flow-reserve","tag-pci"],"_links":{"self":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts\/6403","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/users\/214"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/comments?post=6403"}],"version-history":[{"count":0,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts\/6403\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/media?parent=6403"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/categories?post=6403"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/tags?post=6403"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}