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ACC 2017: Trial Shows FFR-Guidance Can Help Heart Attack Patients Avoid More Revascularizations

 
• By Reed Miller

Results of the Compare-Acute trial show that STEMI patients benefit from complete revascularization guided by fractional flow reserve measurement, but most of this benefit was driven by the reduction in repeat revascularization. Investigators say more research will be needed to determine if this approach can reduce mortality or other "hard" endpoints.

Results from the Compare-Acute trial show that using fractional flow reserve measurements to guide complete revascularization of all the coronary arteries while treating a lesion causing an ST-segment elevation myocardial infarction (STEMI) can reduce patients' risk of needing another revascularization.

Primary investigator Pieter Smits, Maasstad Hospital in Rotterdam, presented the one-year Compare-Acute results at the American College of Cardiology meeting...

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