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Case Studies | Cardiology Science | India | Volume 13 Issue 10, October 2024 | Rating: 4.9 / 10
Evaluating the Role of Fractional Flow Reserve FFR in the Management of Borderline Coronary Lesions
Dr. Arulanandhan Ettiyan, Dr. Kannan Radhakrishnan, Dr. Raghothaman Sethumadhavan, Dr. Suresh Kumar Ponnuswamy
Abstract: The introduction of pressure wire technology, including fractional flow reserve FFR and instantaneous wavefree ratio iFR, has significantly transformed the management of patients with chronic coronary syndrome. These tools allow for a shift in focus from anatomical assessment to physiological evaluation of coronary artery lesions. This case report highlights a 67yearold male patient with diabetes and systemic hypertension, presenting with breathlessness and undergoing coronary angiography. FFR was utilized to assess the functional significance of borderline lesions, which helped guide the decision to avoid unnecessary stenting. The case underscores the clinical importance of FFR in stratifying patients based on ischemic burden and improving outcomes by deferring revascularization when appropriate.
Keywords: Fractional Flow Reserve, Borderline Lesions, Coronary Angiography, Revascularization, Ischemia
Edition: Volume 13 Issue 10, October 2024,
Pages: 869 - 872