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Fractional flow reserve use during elective coronary angiography among elderly patients in the US

Fractional flow reserve use during elective coronary angiography among elderly patients in the US
Fractional flow reserve use during elective coronary angiography among elderly patients in the US

Fractional flow reserve (FFR) is a physiologic measurement of coronary artery perfusion. Studies have demonstrated its benefit in lowering cost and improving outcomes in patients undergoing elective coronary angiography, though follow-up surveys have demonstrated low usage nationwide. We sought to investigate the actual usage in elderly patients undergoing elective coronary angiography. Overall utilization of FFR for elective coronary angiography was 6.3%. Age, sex, race, prior stress testing and region of the country were all statistically significant predictors for FFR use. There still exist many barriers to widespread adoption of this modality, which require further exploration.

2352-9067
160-162
Kay, Bradley
65958615-a7a3-41ab-acaa-d04dee36327f
Joseph, Timothy A.
253956a8-7694-46cf-9eeb-7377d82c208b
Lehrich, Jessica L.
79e424ec-5ee5-4267-922f-537d27c926c9
Curzen, Nick
70f3ea49-51b1-418f-8e56-8210aef1abf4
Nallamothu, Brahmajee K.
39a2a33c-ca9f-4739-875b-a3a7f390e68a
Kay, Bradley
65958615-a7a3-41ab-acaa-d04dee36327f
Joseph, Timothy A.
253956a8-7694-46cf-9eeb-7377d82c208b
Lehrich, Jessica L.
79e424ec-5ee5-4267-922f-537d27c926c9
Curzen, Nick
70f3ea49-51b1-418f-8e56-8210aef1abf4
Nallamothu, Brahmajee K.
39a2a33c-ca9f-4739-875b-a3a7f390e68a

Kay, Bradley, Joseph, Timothy A., Lehrich, Jessica L., Curzen, Nick and Nallamothu, Brahmajee K. (2019) Fractional flow reserve use during elective coronary angiography among elderly patients in the US. IJC Heart and Vasculature, 22, 160-162. (doi:10.1016/j.ijcha.2019.01.005).

Record type: Article

Abstract

Fractional flow reserve (FFR) is a physiologic measurement of coronary artery perfusion. Studies have demonstrated its benefit in lowering cost and improving outcomes in patients undergoing elective coronary angiography, though follow-up surveys have demonstrated low usage nationwide. We sought to investigate the actual usage in elderly patients undergoing elective coronary angiography. Overall utilization of FFR for elective coronary angiography was 6.3%. Age, sex, race, prior stress testing and region of the country were all statistically significant predictors for FFR use. There still exist many barriers to widespread adoption of this modality, which require further exploration.

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Accepted/In Press date: 17 January 2019
e-pub ahead of print date: 20 February 2019
Published date: 1 March 2019

Identifiers

Local EPrints ID: 428510
URI: https://eprints.soton.ac.uk/id/eprint/428510
ISSN: 2352-9067
PURE UUID: b436655f-da04-49a5-b0a0-32b74d3791cd

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Date deposited: 01 Mar 2019 17:30
Last modified: 13 Mar 2019 17:31

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Contributors

Author: Bradley Kay
Author: Timothy A. Joseph
Author: Jessica L. Lehrich
Author: Nick Curzen
Author: Brahmajee K. Nallamothu

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