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No Benefit to FFR-guided PCI in STEMI Patients With Multi-Vessel Disease


No Benefit to FFR-guided PCI in STEMI Patients With Multi-Vessel Disease
FLOWER-MI trial finds that FFR approach is not cost effective and angiography alone has same outcomes
The FLOWER-MI trial presented at ACC 2021 found no benefit to FFR-guided PCI in STEMI with multi-vessel disease.
May 17, 2021 In patients who received a coronary stent for an ST-elevation myocardial infarction (STEMI) heart attack, the use of fractional flow reserve (FFR) to see if a second stent is needed did not improve outcomes and was more costly than using angiography. The study found guiding procedures with angiography X-ray imaging alone and more effective. 
This was according to the data from the FLOWER-MI trial presented at the American College of Cardiology (ACC) 2021 scientific session. This study was simultaneously published online in the ....

France General , Etienne Puymirat , American College Of Cardiology , University Of Paris , French Ministry Of Health , American College , New England Journal , Georges Pompidou Hospital , French Ministry , பிரான்ஸ் ஜநரல் , அமெரிக்கன் கல்லூரி ஆஃப் இருதயவியல் , பல்கலைக்கழகம் ஆஃப் பாரிஸ் , பிரஞ்சு அமைச்சகம் ஆஃப் ஆரோக்கியம் , அமெரிக்கன் கல்லூரி , புதியது இங்கிலாந்து இதழ் , பிரஞ்சு அமைச்சகம் ,

STEMI patients with multi-vessel disease have no benefit from FFR-guided PCI

STEMI patients with multi-vessel disease have no benefit from FFR-guided PCI
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France General , Etienne Puymirat , Emily Henderson , University Of Paris , American College , Annual Scientific , Georges Pompidou Hospital , எமிலி ஹென்டர்சன் , பல்கலைக்கழகம் ஆஃப் பாரிஸ் , அமெரிக்கன் கல்லூரி , ஆண்டு அறிவியல் ,

FFR Disappoints as Guide for PCI on Non-Culprit Lesions in STEMI


email article
Hemodynamic assessment did not improve guidance for complete revascularization in multivessel stenting for patients with ST-segment elevation MI (STEMI), according to the FLOWER-MI trial.
Fractional flow reserve (FFR) was no better than angiography at guiding percutaneous coronary intervention (PCI) on nonculprit lesions in terms of 1-year clinical outcomes among more than 1,000 study participants, reported Etienne Puymirat, of the European Hospital of Georges Pompidou in Paris.
By then, the combined rate of all-cause mortality, MI, or unplanned hospitalization leading to urgent revascularization was similar between patients randomized to FFR or angiographic guidance (5.5% vs 4.2%, HR 1.32, 95% CI 0.78-2.23). There were no differences in individual endpoint components either, Puymirat said at the American College of Cardiology (ACC) virtual meeting. FLOWER-MI results were simultaneously published in the ....

Stanford University , United States , New York , Rhode Island , France General , Nicole Lou , William Fearon , Etienne Puymirat , Roxana Mehran , Herbert Aronow , Georges Pompidou , Lifespan Cardiovascular Institute , American College Of Cardiology , European Hospital , American College , New England Journal , Mount Sinai Hospital , New York City , Alpert Medical School , Brown University , Medpage Today , England Journal , Englj Med , ஸ்டான்போர்ட் பல்கலைக்கழகம் , ஒன்றுபட்டது மாநிலங்களில் , புதியது யார்க் ,