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. 2023 Apr 6;11(10):2123–2139. doi: 10.12998/wjcc.v11.i10.2123

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.