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FFR assessment

Rethink FFR assessment for every patientAdvanced solutions for Fractional Flow Reserve

Cardiovascular diseases are the number 1 cause of death globally, taking an estimated 17.9 million lives each year1) – 52.5% of which are attributed to coronary heart disease.2) Consequently, related symptoms are taken very seriously: In patients with suspected coronary heart disease, the presence of a stenosis has to be verified, its extent assessed, and the need for revascularization determined.

What do you think?

In how many cases would visual lesion assessment have resulted in a wrong stenting decision?

Make confident decisions when assessing FFR

Accurately measure pressure differences across a stenosis, confidently assess its hemodynamic significance, and make confident decisions for all patients. From catheter-based Fractional Flow Reserve (FFR) assessment to image-based Angio-FFR3) and noninvasive CT FFR: Our portfolio has the right solution for every patient with coronary artery disease. Because as your partner for FFR, we are committed to supporting you in making competent decisions and improving patient outcomes by expanding precision medicine.

Discover our solutions for FFR assessment

View clinical cases of FFR assessments

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Catheter-based FFR02
Angio-derived FFR03
CT-based FFR02
Diastolic pressure ratio (dPR) case: Non-hyperemic pressure ratio with Sensis Vibe

Fractional Flow Reserve (FFR) case: Hyperemic pressure ratio with Sensis Vibe

Patient history:
  • 69-year-old patient with symptoms of angina pectoris
  • History of smoking (30 packs/year)
DFR measurement was performed in the RCA (DFR = 0.83)4)
Diastolic pressure ratio (dPR) case: Non-hyperemic pressure ratio with Sensis Vibe
Diastolic pressure ratio (dPR) case: Non-hyperemic pressure ratio with Sensis Vibe
67-year-old male, BMI of 37
67-year-old male, BMI of 37: No known CAD
67-year-old male, BMI of 37: No known CAD
Benefit of including HeartFlow FFRCT Analysis in workup of patients with suspected coronary artery disease
Benefit of including HeartFlow FFRCT Analysis in workup of patients with suspected coronary artery disease
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Learn about scientific evidence for angio-derived FFR

Find out more about the current literature and proven facts regarding angio-derived FFR.

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FFR assessment: literature for Angio-FFR
FFR assessment: literature for Angio-FFR
FFR assessment: proven facts for Angio-FFR
FFR assessment: Study on angio-derived FFR
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Discover our offering for FFR assessments

Do you want to perform catheter-based FFR, angio-derived FFR, or CT FFR? Our portfolio includes everything you need to accurately measure and assess pressure differences across a stenosis.

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Learn more about our Artis family for interventional imaging

Angiography

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Find out how Sensis Vibe amplifies your productivity

Sensis Vibe

Siemens Healthineers QuantWeb vFFR measurement

Discover our solution for angio-derived FFR assessment

vFFR

FFR CT scanners

Find out what our Dual Source CT scanners have to offer

CT scanners

FFR assessment CT

Discover how you can measure FFR noninvasively


HeartFlow FFRCT

1) https://www.who.int/health-topics/cardiovascular-diseases/#tab=tab_1

2) https://www.who.int/gho/mortality_burden_disease/causes_death/top_10/en/

https://www.who.int/news-room/fact-sheets/detail/the-top-10-causes-of-death

3) Cases which can be evaluated with angio-derived FFR are stable coronary syndrome and non-ST elevation acute coronary syndrome.
4) Not commercially available in all countries.
5) Compared with usual care testing for patients with suspected CAD. Douglas PS et al. 1-Year Outcomes of FFRCT-Guided Care in Patients with Suspected Coronary Artery Disease. J Am Coll Cardiol. 2016;68(5):435-45.
6) Kornowski, R. et al. (2018): Online Angiography Image-Based FFR Assessment During Coronary Catheterization: A Single-Center Study, J Invasive Cardiol., 30(6), pp. 224-229, URL: https://www.ncbi.nlm.nih.gov/pubmed/29543186.
7) Kornowski, R. et al. (2016): Fractional Flow Reserve Derived From Routine Coronary Angiograms, JACC, 68(20), pp. 2235-2237, URL: https://www.sciencedirect.com/science/article/pii/S0735109716353086.
8) Westra, J. et al. (2018): Diagnostic Performance of In Procedure Angiography Derived Quantitative Flow Reserve Compared to Pressure Derived Fractional Flow Reserve: The FAVOR II Europe Japan Study, JAHA, 7(14), p. e009603, URL: https://www.ahajournals.org/doi/10.1161/JAHA.118.009603.
9) Westra, J et al. (2018): Evaluation of Coronary Artery Stenosis by Quantitative Flow Ratio During Invasive Coronary Angiography. The WIFI II Study (Wire-Free Functional Imaging II), Circ Cardiovasc Imaging, 11(3), pp. e007107, URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5895131/pdf/hci-11-e007107.pdf.
10) Masdjedi, K. et al. (2019): Validation of 3-Dimensional Quantitative Coronary Angiography based software to calculate Fractional Flow Reserve: Fast Assessment of STenosis severity (FAST)-study, EuroIntervention, URL: https://www.ncbi.nlm.nih.gov/pubmed/31085504.
11) Daemen, J. et al. (2019): 100.54 Extended Validation of Novel 3-Dimensional Quantitative Coronary Angiography (3D-QCA) Based Software to Calculate Vessel Fractional Flow Reserve vFFR): The Fast Extend Study, JACC: Cardiovascular Interventions, 12(4), URL: http://interventions.onlinejacc.org/content/12/4_Supplement/S17.1.
12) Tomaniak, M. et al. (2019): TCT-331 Correlation Between 3D-QCA–Based FFR and Quantitative Lumen Assessment by IVUS for Left Main Coronary Stenoses: The FAST Left Main Study, JACC, 74(13), URL: http://www.onlinejacc.org/content/74/13_Supplement/B329.
13) Masdjedi, K. et al. (2018): Validation of novel 3-Dimensional Quantitative Coronary Angiography based software to calculate Vessel Fractional Flow Reserve (vFFR) post stenting: Fast Assessment of STenosis severity POST stenting, The FAST POST-study, presented at: TCT 2018, San Diego, CA.
14) Masdjedi, K. et al. (2019): TCT-110 The Prognostic Value of Angiography-Based Vessel-FFR After Successful Percutaneous Coronary Intervention: The FAST Outcome Study, JACC, 74(13), URL: http://www.onlinejacc.org/content/74/13_Supplement/B110.