Fractional Flow Reserve: Cost-effectiveness to guide Coronary Interventions in Chronic Stable Angina | ||||
| Zagazig University Medical Journal | ||||
| Article 28, Volume 30, Issue 1.1, January and February 2024, Page 210-217 PDF (1.16 MB) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/zumj.2021.64039.2145 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Ahmed Shawky   1; Ahmed Mosa2; nader talat kandil3
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| 1Ass. prof. of cardiology, Zagazig university | ||||
| 2Assistant professor of cardiology, Zagazig university | ||||
| 3cardiovascular ,faculty of medicine,zagazig university ,sharkia,cairo | ||||
| Abstract | ||||
| Abstract Background: In clinical practice management of patients with intermediate coronary artery disease efficiently without costing a lot of money has a value to this therapeutic dilemma, especially in patients presented to the catheterization laboratory without prior functional assessment. Methods: A decision model to compare between the cost of FFR-guided coronary interventions and angiographically-guided interventions was done. Intermediate coronary lesions in each patient were assessed twice by using the 2 methods leading to 2 decisions for each patient. A comparison between the costs of the 2 decisions was held. Results: FFR-guided coronary intervention saved 63 stents in 122 lesions in 50 patients. The estimated cost of FFR-guided strategy per patient ranged from 25.000 Egyptian pound (EP) to 45.000 EP with mean value of 26.860+4.500. Whereas the estimated cost of coronary angiography guided strategy per patient ranged from 15.000 EP to 61.000 EP with mean value of 31.740+12.960. Conclusion: Measuring FFR is cost-effective in chronic stable angina especially in diabetic patients with multi-vessel disease. | ||||
| Keywords | ||||
| Fractional Flow Reserve; guide to Coronary Interventions; Chronic Stable Angina | ||||
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