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Posts Tagged ‘ffr ivus oct’

Fractional flow reserve(FFR) is an  Intra coronary hemodynamic  parameter  promoted recently to assess the physiological impact of a coronary lesion . Though it sounds logically attractive the concept  is sailing in rough seas  .I am afraid FFR is drowning  a fairly useful tool of IVUS  along with it  !

Read this large study on FFR (JAMA June 2014) .It seems to suggest  FFR is a costly and unnecessary accessory in cath lab

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Critical thoughts on FFR

It adds time , money , and procedural risk*  to any given patient .The only possible use is to reduce the proliferating stent usage !But the  irony  is complete as we do our daily business in  modern cath suits .To negate  one indulgence we need to  need to indulge  in  another ! (Junk begets Junk !)

It reflects lack of courage on the part of cardiologists to advice medical management even in obvious low risk lesions !

It is unfortunate ,we need a scientific or  a pseudo scientific tool to lift up our sagging medical intellect !

 

* crossing  delicate and often complex lesions  without any major purpose is bad wisdom !
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