Non-invasive Angiographic-based Fractional Flow Reserve: Technical Development, Clinical Implications, and Future Perspectives

Publication date

2023-06

Authors

Peper, Joyce
Bots, Michiel L.ORCID 0000-0003-2871-9810ISNI 0000000391893395
Leiner, TimORCID 0000-0003-1885-5499ISNI 0000000390698205
Swaans, Martin J

Editors

Advisors

Supervisors

Document Type

Article

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License

cc_by

Abstract

New non- and less-invasive techniques have been developed to overcome the procedural and operator related burden of the fractional flow reserve (FFR) for the assessment of potentially significant stenosis in the coronary arteries. Virtual FFR-techniques can obviate the need for the additional flow or pressure wires as used for FFR measurements. This review provides an overview of the developments and validation of the virtual FFR-algorithms, states the challenges, discusses the upcoming clinical trials, and postulates the future role of virtual FFR in the clinical practice.

Keywords

Coronary Angiography/methods, Coronary Stenosis/diagnostic imaging, Coronary Vessels/diagnostic imaging, Fractional Flow Reserve, Myocardial, Humans, Predictive Value of Tests, coronary artery disease, diagnostic accuracy, quantitative flow ratio, physiology guided percutaneous coronary intervention, fractional flow reserve, Genetics, Biochemistry, Review, Journal Article

Citation

Peper, J, Bots, M L, Leiner, T & Swaans, M J 2023, 'Non-invasive Angiographic-based Fractional Flow Reserve : Technical Development, Clinical Implications, and Future Perspectives', Current medical science, vol. 43, no. 3, pp. 423-433. https://doi.org/10.1007/s11596-023-2751-4