DOI
https://doi.org/10.47689/2181-3663-vol4-iss4-pp190-201Keywords
fractional flow reserve (FFR) , coronary artery disease (CAD) , percutaneous coronary interventions (PCI) , intermediate stenoses , multivessel disease , functional revascularizationAbstract
Fractional flow reserve (FFR) is the gold standard for the functional assessment of coronary stenoses, yet its application in clinical practice remains limited, particularly in Central Asia. This clinical case demonstrates the practical value of an FFR-guided revascularization strategy in a 70-year-old woman with multivessel coronary artery disease. Coronary angiography revealed critical stenosis of the circumflex artery (90–95%) and intermediate stenosis of the left anterior descending artery (55–60%). FFR measurements showed hemodynamic significance of the circumflex lesion (FFR 0.69) and functional insignificance of the left anterior descending lesion (FFR 0.93). Based on physiological assessment, stenting was performed only in the circumflex artery, with deferred intervention on the left anterior descending artery. The case illustrates key advantages of FFR: objective decision-making, avoidance of unnecessary stenting, reduction of procedural risks, and optimization of long-term outcomes. Integrating FFR into routine practice represents an important step toward personalized medicine in interventional cardiology.
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