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.