Does using FFR really add time to the procedure?
Dr. Fearon: If you have a single vessel and you’re deciding whether to do FFR and stent vs. just stenting, likely it would be quicker to just stent. But most cases we’re dealing with are multivessel disease and in that setting, we studied that in FAME, and we found that there was no additional time, that the procedure time was identical between the FFR-guided group and the angio-guided group. And likely that’s because, although almost every patient in the FFR-guided arm that got at least one stent, there were significantly fewer stents placed in that arm and that saved time, while measuring FFR might add some time, so it was a wash. I should say that, as people get more experienced using it and if you have your cath lab set up so that you’re prepared to use it, it’s just like doing IVUS. It adds a few minutes, but it’s not like it greatly prolongs the procedure. It’s certainly less than say doing Rotablator. Q: You mentioned that using FFR results in doing less interventions, but as Ni
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