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- W2073500730 abstract "Abstract Introduction and objectives Multivessel disease is usually present in almost half of patients with acute coronary syndromes. Angiography is insufficiently accurate to decide on coronary revascularization in moderate nonculprit lesions. There is some debate about the usefulness of fractional flow reserve assessed by intracoronary pressure wire in acute coronary syndromes. We studied the results of using fractional flow reserve values to decide whether to perform coronary revascularization of nonculprit angiographically moderate lesions in patients with acute coronary syndrome and multivesel disease. Methods The fractional flow reserve was used to decide whether to revascularize angiographically moderate nonculprit lesions in a cohort of consecutive patients with acute coronary syndromes recruited in 2 centers. Results One hundred and seven patients were included. Based on fractional flow reserve values, 81 patients (75.7%) were not revascularized. All lesions studied were revascularized in 26 patients (24.3%). Patient characteristics of the nontreated group and treated group were, respectively, diseased vessels, 1.3 (0.7) vs 1.4 (0.6) ( P P =.3); stenosis, 46.1 (8.3)% vs 47.9 (10.3)% ( P =.4); fractional flow reserve, 0.86 (0.1) vs 0.70 (0.1) ( P Conclusions Fractional flow reserve assessed by intracoronary pressure wire is useful in deciding whether to revascularize angiographically moderate nonculprit lesions in patients with acute coronary syndrome and multivessel disease." @default.
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- W2073500730 date "2012-02-01" @default.
- W2073500730 modified "2023-10-18" @default.
- W2073500730 title "Results of Fractional Flow Reserve Measurement to Evaluate Nonculprit Coronary Artery Stenoses in Patients With Acute Coronary Syndrome" @default.
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- W2073500730 doi "https://doi.org/10.1016/j.rec.2011.09.022" @default.
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