Optimal Prognostication of Patients with Coronary Stenoses in the Pre- and Post-PCI setting: Comments on TARGET FFR and DEFINE-FLOW Trials Presented at TCT Connect 2020

The body of evidence for the use of coronary physiology assessments to guide percutaneous coronary intervention (PCI) has been growing continuously in recent decades. Two studies presented during TCT Connect 2020 added insights into the prognostic value of coronary physiology measurements in pre- an...

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Main Authors: Andreas Seitz, Stefan Baumann, Udo Sechtem, Peter Ong
Format: Article
Language:English
Published: Radcliffe Medical Media 2021-04-01
Series:European Cardiology Review
Online Access:https://www.ecrjournal.com/articleindex/ecr.2021.04
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author Andreas Seitz
Stefan Baumann
Udo Sechtem
Peter Ong
author_facet Andreas Seitz
Stefan Baumann
Udo Sechtem
Peter Ong
author_sort Andreas Seitz
collection DOAJ
description The body of evidence for the use of coronary physiology assessments to guide percutaneous coronary intervention (PCI) has been growing continuously in recent decades. Two studies presented during TCT Connect 2020 added insights into the prognostic value of coronary physiology measurements in pre- and post-PCI settings. The first study, TARGET FFR, assessed whether a post-PCI fractional flow reserve (FFR)-guided incremental optimisation strategy (PIOS) was superior to angiography-guided PCI. The second study, DEFINE-FLOW, assessed the course of stenoses with fractional and coronary flow reserve (FFR+/CFR−) discordance when treated medically. This article summarises the main results from the TARGET FFR and the DEFINE-FLOW trials and puts them into the context of the existing literature.
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spelling doaj-art-2b931bc7d9764cfcb7523c016664d43a2025-08-20T02:39:16ZengRadcliffe Medical MediaEuropean Cardiology Review1758-37561758-37642021-04-011610.15420/ecr.2021.04Optimal Prognostication of Patients with Coronary Stenoses in the Pre- and Post-PCI setting: Comments on TARGET FFR and DEFINE-FLOW Trials Presented at TCT Connect 2020Andreas Seitz0Stefan Baumann1Udo Sechtem2Peter Ong3Department of Cardiology and Angiology, Robert-Bosch-Krankenhaus, Stuttgart, GermanyDepartment of Cardiology, Pneumology and Angiology, University Hospital Mannheim, Mannheim, GermanyDepartment of Cardiology and Angiology, Robert-Bosch-Krankenhaus, Stuttgart, GermanyDepartment of Cardiology and Angiology, Robert-Bosch-Krankenhaus, Stuttgart, GermanyThe body of evidence for the use of coronary physiology assessments to guide percutaneous coronary intervention (PCI) has been growing continuously in recent decades. Two studies presented during TCT Connect 2020 added insights into the prognostic value of coronary physiology measurements in pre- and post-PCI settings. The first study, TARGET FFR, assessed whether a post-PCI fractional flow reserve (FFR)-guided incremental optimisation strategy (PIOS) was superior to angiography-guided PCI. The second study, DEFINE-FLOW, assessed the course of stenoses with fractional and coronary flow reserve (FFR+/CFR−) discordance when treated medically. This article summarises the main results from the TARGET FFR and the DEFINE-FLOW trials and puts them into the context of the existing literature.https://www.ecrjournal.com/articleindex/ecr.2021.04
spellingShingle Andreas Seitz
Stefan Baumann
Udo Sechtem
Peter Ong
Optimal Prognostication of Patients with Coronary Stenoses in the Pre- and Post-PCI setting: Comments on TARGET FFR and DEFINE-FLOW Trials Presented at TCT Connect 2020
European Cardiology Review
title Optimal Prognostication of Patients with Coronary Stenoses in the Pre- and Post-PCI setting: Comments on TARGET FFR and DEFINE-FLOW Trials Presented at TCT Connect 2020
title_full Optimal Prognostication of Patients with Coronary Stenoses in the Pre- and Post-PCI setting: Comments on TARGET FFR and DEFINE-FLOW Trials Presented at TCT Connect 2020
title_fullStr Optimal Prognostication of Patients with Coronary Stenoses in the Pre- and Post-PCI setting: Comments on TARGET FFR and DEFINE-FLOW Trials Presented at TCT Connect 2020
title_full_unstemmed Optimal Prognostication of Patients with Coronary Stenoses in the Pre- and Post-PCI setting: Comments on TARGET FFR and DEFINE-FLOW Trials Presented at TCT Connect 2020
title_short Optimal Prognostication of Patients with Coronary Stenoses in the Pre- and Post-PCI setting: Comments on TARGET FFR and DEFINE-FLOW Trials Presented at TCT Connect 2020
title_sort optimal prognostication of patients with coronary stenoses in the pre and post pci setting comments on target ffr and define flow trials presented at tct connect 2020
url https://www.ecrjournal.com/articleindex/ecr.2021.04
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