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Fractional Flow Reserve-Based Coronary Artery Bypass Surgery: Current Evidence and Future Directions.
JACC: Cardiovascular Interventions ( IF 11.7 ) Pub Date : 2020-03-25 , DOI: 10.1016/j.jcin.2019.12.017 Cristiano Spadaccio 1 , David Glineur 2 , Emanuele Barbato 3 , Antonino Di Franco 4 , Keith G Oldroyd 5 , Giuseppe Biondi-Zoccai 6 , Filippo Crea 7 , Stephen E Fremes 8 , Dominick J Angiolillo 9 , Mario Gaudino 4
JACC: Cardiovascular Interventions ( IF 11.7 ) Pub Date : 2020-03-25 , DOI: 10.1016/j.jcin.2019.12.017 Cristiano Spadaccio 1 , David Glineur 2 , Emanuele Barbato 3 , Antonino Di Franco 4 , Keith G Oldroyd 5 , Giuseppe Biondi-Zoccai 6 , Filippo Crea 7 , Stephen E Fremes 8 , Dominick J Angiolillo 9 , Mario Gaudino 4
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Fractional flow reserve (FFR) provides an objective measurement of the severity of ischemia caused by coronary stenoses in downstream myocardial regions. Data from the interventional cardiology realm have suggested benefits of a FFR-guided percutaneous coronary intervention (PCI) strategy. Limited evidence is available on the use of FFR to guide coronary artery bypass grafting (CABG). The most recent data have shown that FFR might simplify CABG procedures and optimize patency of arterial grafts without any clear impact on clinical outcomes. The aim of this review was to summarize the available data on FFR-based CABG and discuss the rationale and potential consequences of a switch toward FFR-based surgical revascularization strategy.
中文翻译：
基于分数流量储备的冠状动脉搭桥手术：当前证据和未来方向。
血流储备分数（FFR）可客观测量由下游心肌区域中冠状动脉狭窄引起的局部缺血的严重程度。来自介入心脏病学领域的数据表明了FFR引导的经皮冠状动脉介入治疗（PCI）策略的益处。关于使用FFR指导冠状动脉旁路移植术（CABG）的证据有限。最新数据表明，FFR可以简化CABG程序并优化动脉移植的通畅性，而对临床结果没有任何明显影响。这篇综述的目的是总结基于FFR的CABG的可用数据，并讨论转向基于FFR的手术血运重建策略的原理和潜在后果。
更新日期：2020-03-25
中文翻译：
基于分数流量储备的冠状动脉搭桥手术：当前证据和未来方向。
血流储备分数（FFR）可客观测量由下游心肌区域中冠状动脉狭窄引起的局部缺血的严重程度。来自介入心脏病学领域的数据表明了FFR引导的经皮冠状动脉介入治疗（PCI）策略的益处。关于使用FFR指导冠状动脉旁路移植术（CABG）的证据有限。最新数据表明，FFR可以简化CABG程序并优化动脉移植的通畅性，而对临床结果没有任何明显影响。这篇综述的目的是总结基于FFR的CABG的可用数据，并讨论转向基于FFR的手术血运重建策略的原理和潜在后果。
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