Table 3.
Studies that evaluated the outcomes of fractional flow reserve in intermediate coronary artery disease
| Author or Study | Single or MVD CAD | Study design | FFR value defining ischemia | No. of patients | Survival % | Event-free survival % | Follow up, mo | Primary outcome rate % |
| DEFER[37] | Single | Randomized, prospective, multicenter | 0.75 | 91/144 | 93/91 | 80/63 | 60 | |
| FAME[10] | MVD | Randomized, prospective, multicenter | 0.80 | 509/1005 | 37/509 | 73 | 12 | |
| Hamilos et al[50] | LM | Prospective, single center | 0.80 | 136/73 | 89.8/85.4 | 74.2/82.8 | 35 | |
| FLOWER MI[51] | MVD | Randomized, prospective, multicenter | 0.80 | 590/1171 | 5.5/4.2 | 98.5/98.3 | 12.36 | |
| PHANTOM[52] | NR | Prospective, multicenter | 0.75 | 39/21 | 100/100 | 97/76 | 12 | |
| FAME 2[9] | Single + MVD | Randomized, prospective, multicenter | 0.80 | 447/1220 | 60 | 8.7 | ||
| FAME 3[53] | MVD | Randomized, prospective, multicenter | 0.80 | 757/1500 | 12 | 10.6 |
CAD: Coronary artery disease; MVD: Multivessel disease; FFR: Fractional flow reserve; mo: Months; LM: Left main; No: Number. Table 3 represents the multiple studies that evaluated the fractional flow reserve through years. These diverse trials had different end points but generally converged to the common conclusion that fractional flow reserve guided- percutaneous interventions (PCI) has better outcomes than angiography-guided PCI. FFR clinical threshold has been chosen upon these studies.