Michael Foley, Christopher A Rajkumar, Fiyyaz Ahmed-Jushuf, Daniel Nour, Chi Ho Fung, Henry Seligman, Rachel H Pathimagaraj, Ricardo Petraco, Sayan Sen, Sukhjinder Nijjer, James P Howard, Yousif Ahmad, Usaid Allahwala, Ravinay Bhindi, Daniel Chamie, Shunich Doi, Shingo Kuwata, Toshiki Kaihara, Masashi Koga, Yuki Ishibashi, Takumi Higuma, Yasuhiro Tanabe, Masafumi Nakayama, Yoshiaki Kawase, Akifumi Watanabe, Naohiro Funayama, Ryo Horinaka, Nobuhiro Hijikata, Takamichi Takahashi, Hitoshi Matsuo, Peter S Hansen, Andre Manica, James Weaver, Karam Alzuhairi, Thon-Hon Yong, Takayuki Warisawa, Darrel P Francis, Matthew J Shun-Shin, Rasha K Al-Lamee
BACKGROUND: Landmark trials showed that invasive pressure measurement (Fractional Flow Reserve, FFR) was a better guide to coronary stenting than visual assessment. However, present-day interventionists have benefited from extensive research and personal experience of mapping anatomy to hemodynamics. AIMS: To determine if visual assessment of the angiogram performs as well as invasive measurement of coronary physiology. METHODS: 25 interventional cardiologists independently visually assessed the single vessel coronary disease of 200 randomized participants in The Objective Randomized Blinded Investigation with optimal medical Therapy of Angioplasty in stable angina trial (ORBITA)...
August 12, 2023: Cardiovascular Revascularization Medicine: Including Molecular Interventions