Clinical Events After Deferral of LAD Revascularization Following Physiological Coronary Assessment

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Atıf İçin Kopyala

Sen S., Ahmad Y., Dehbi H., Howard J. P., Iglesias J. F., Al-Lamee R., ...Daha Fazla

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, cilt.73, sa.4, ss.444-453, 2019 (SCI-Expanded)

• Yayın Türü: Makale / Tam Makale
• Cilt numarası: 73 Sayı: 4
• Basım Tarihi: 2019
• Doi Numarası: 10.1016/j.jacc.2018.10.070
• Dergi Adı: JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY
• Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
• Sayfa Sayıları: ss.444-453
• İstanbul Üniversitesi Adresli: Evet

Özet

BACKGROUND Physicians are not always comfortable deferring treatment of a stenosis in the left anterior descending (LAD) artery because of the perception that there is a high risk of major adverse cardiac events (MACE). The authors describe, using the DEFINE-FLAIR (Functional Lesion Assessment of Intermediate Stenosis to Guide Revascularisation) trial, MACE rates when LAD lesions are deferred, guided by physiological assessment using fractional flow reserve (FFR) or the instantaneous wave-free ratio (iFR).