Study and Year | N | Design | Population | FFR cutoff | Outcomes |
DEFER 2001 [19] | 325 | RCT | Stable CAD and intermediate stenosis without evidence of ischemia | 0.75 | No benefit stenting a non-ischemic stenosis |
FAME 2009 [20] | 1005 | RCT | Multivessel CAD | 0.80 | Routine measurement of FFR in patients with multivessel CAD who underwent PCI with DES had a reduction in MACE at 1 year |
FAME 2 2012 [22] | 888 | RCT | Stable CAD and hemodynamically significant stenoses | 0.80 | FFR-guided PCI with DES plus OMT vs OMT alone attenuated the rate of urgent revascularization. In negative FFR, OMT alone resulted in excellent outcomes, notwithstanding the angiographic assessment of the stenoses. |
FAMOUS-NSTEMI 2014 [26] | 350 | RCT | NSTEMI referred for invasive management | 0.80 | FFR-guided management was associated with lower rates of revascularization versus angiography-guided management. Spontaneous MACE was more common in the FFR group during the 12-month follow-up. |
DANAMI-3- PRIMULTI 2015 [27] | 627 | RCT | STEMI and multivessel disease who had undergone primary PCI of an infarct-related coronary artery | 0.80 | FFR-guided staged revascularization during index admission reduced the risk of future events and the need for revascularization. |
Compare-Acute 2017 [28] | 885 | RCT | STEMI and multivessel disease who had undergone primary PCI of an infarct-related coronary artery | 0.80 | FFR-guided complete revascularization of non-infarct-related arteries in the acute setting resulted in lower MACE, including the need for revascularization. |
IRIS-FFR 2017 [25] | 5846 | Prospective registry | At least one coronary lesion | 0.75 | Lesions with FFR ≤ 0.75: risk of MACE was significantly lower in revascularized lesions than deferred lesions. Lesions with FFR ≥ 0.76: risk of MACE was not significantly different between deferred and revascularized lesions. |
Mayo Registry 2013 [30] | 7358 | Retrospective registry | PCI candidates without STEMI or cardiogenic shock | <0.75: PCI 0.75 - 0.80: Operator discretion >0.8: OMT | FFR-guided treatment was associated with a positive long-term outcome with a decreased reduction in MACE events. |
RIPCORD 2014 [31] | 200 | Prospective observational study | Stable angina | 0.80 | Routine measurement of FFR at diagnostic angiogram affects the patient management approach. |