@article{ATM20358,
author = {John C. Moscona and Jason D. Stencel and Gregory Milligan and Christopher Salmon and Rohit Maini and Paul Katigbak and Qusai Saleh and Ryan Nelson and Sudesh Srivastav and Owen Mogabgab and Rohan Samson and Thierry Le Jemtel},
title = {Physiologic assessment of moderate coronary lesions: a step towards complete revascularization in coronary artery bypass grafting},
journal = {Annals of Translational Medicine},
volume = {6},
number = {15},
year = {2018},
keywords = {},
abstract = {Background: An accurate diagnostic assessment of coronary artery disease is crucial for patients undergoing coronary artery bypass grafting (CABG). Fractional flow reserve (FFR) and instantaneous wave-free ratio (iFR) to guide complete revascularization have not been adequately studied in patients prior to CABG. We compared an anatomic to a physiologic assessment of moderate coronary lesions (40–70% stenosis) in patients referred for CABG.
Methods: We retrospectively reviewed 109 medical records of patients who underwent CABG at Tulane Medical Center from 2014 to 2016. Patients were divided into an FFR/iFR-guided and an angiography-guided group. Clinical characteristics, procedural outcomes, and clinical outcomes for the two groups were compared over an 18-month follow-up period.
Results: There were significantly higher rates of three-vessel anastomoses (85.7% vs. 74.7%, P},
issn = {2305-5847}, url = {https://atm.amegroups.org/article/view/20358}
}