ArticleClinical research in cardiology : official journal of the German Cardiac Society2017
Real-world use of fractional flow reserve in Germany: results of the prospective ALKK coronary angiography and PCI registry.
Article in Clinical research in cardiology : official journal of the German Cardiac Society, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.
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31 citing papers in PubMed, 1 synthesis or guideline pooled it, 54 citations in OpenAlex.
- SCCT 2021 Expert Consensus Document on Coronary Computed Tomographic Angiography: A Report of the Society of Cardiovascular Computed Tomography.Journal of cardiovascular computed tomographyGuideline
- Use of Intracoronary Pressure Wire Assessment and Association With Outcomes: Insights From the British Cardiovascular Intervention Society National Database.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2026Article
- Negative expansion resistance (NER) phenomenon predicts hemodynamically non-significant coronary lesions.Scientific reports · 2025Article
- Automated stenosis estimation of coronary angiographies using end-to-end learning.The international journal of cardiovascular imaging · 2025Article
- Validation of angiography-derived Murray law-based quantitative flow reserve (μQFR) against pressure-derived instantaneous wave-free ratio for assessing coronary lesions, a single-center study in Egypt.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2024Article
- Impact of the use of plaque modification techniques on coronary microcirculation using an angiography-derived index of microcirculatory resistance.The international journal of cardiovascular imaging · 2024Article
- A stepwise strategy integrating dynamic stress CT myocardial perfusion and deep learning-based FFREuropean radiology · 2024Article
- Use of coronary physiology to guide revascularization in clinical practice: results of the F(FR)Clinical research in cardiology : official journal of the German Cardiac Society · 2024Article
- Fractional flow reserve measurements and long-term mortality-results from the FLORIDA study.Frontiers in cardiovascular medicine · 2024Article
- Biomechanical factors and atherosclerosis localization: insights and clinical applications.Frontiers in cardiovascular medicine · 2024Review
- Validation of Quantitative Flow Ratio-Derived Virtual Angioplasty with Post-Angioplasty Fractional Flow Reserve-The QIMERA-I Study.Journal of cardiovascular development and disease · 2023Article
- Prediction of fractional flow reserve with enhanced ant lion optimized support vector machine.Heliyon · 2023Article
- Agreement between Murray law-based quantitative flow ratio (μQFR) and three-dimensional quantitative flow ratio (3D-QFR) in non-selected angiographic stenosis: A multicenter study.Cardiology journal · 2022Article
- Percutaneous coronary intervention in side branch coronary arteries: Insights from the Japanese nationwide registry.International journal of cardiology. Heart & vasculature · 2021Article
- Identification of Flow-Limiting Coronary Stenosis With PCS: A New Cost-Effective Index Derived From the Product of Corrected TIMI Frame Count and Percent Diameter Stenosis.Frontiers in cardiovascular medicine · 2021Article
- Article
- Comparison of Resting Full-Cycle Ratio and Fractional Flow Reserve in a German Real-World Cohort.Frontiers in cardiovascular medicine · 2021Article
- Fractional flow reserve as the standard of reference: All that glistens is not gold.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2020Article
- Correlation of machine learning computed tomography-based fractional flow reserve with instantaneous wave free ratio to detect hemodynamically significant coronary stenosis.Clinical research in cardiology : official journal of the German Cardiac Society · 2020Article
- Percutaneous Coronary Intervention in Stable Coronary Heart Disease -Is Less More?Deutsches Arzteblatt international · 2020Review
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Authors and funding
10 authors at 7 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere is growing evidence for beneficial prognostic and economic effects of FFR-guided treatment of stable coronary artery disease. We sought to evaluate the real-world use of FFR measurements in patients undergoing elective coronary angiography. METHODS AND
resultsWe analyzed the data of the prospective ALKK coronary angiography and PCI registry including data of 38 hospitals from January 2010 to December 2013. A total of 100,977 patients undergoing coronary angiography were included. In 3240 patients (3.2 %) intracoronary pressure measurement was performed. There was a wide range of use of FFR measurement in the different analyzed ALKK hospitals from 0.1 to 8.8 % in elective patients with suspected or known coronary artery disease (median 2.7 %, quartiles 0.9 and 5.3 %), with a successive increase of use over time during the study period. Overall, it was performed in 3.2 % of coronary angiographies. Use in patients with three-vessel disease (2.5 %) and recommendation for bypass surgery (1.6 %) was less frequent. In procedures without PCI, dose area product was higher in the FFR group (2641 cGy × cm
conclusionsThe use of FFR measurement was very heterogeneous between different hospitals and in general relatively low, in particular in patients with multivessel disease or recommendation for bypass surgery, but there was a positive trend during the study period. Technically, FFR measurement was not associated with an increased periprocedural complication rate.
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