AI Article Synopsis
- Recent high-profile trials have reported negative outcomes regarding pressure wires, raising concerns among interventional cardiologists about their future use.
- There has been a shift towards more angioplasty procedures for acute conditions compared to stable coronary artery disease, as well as an increase in using advanced imaging techniques during procedures.
- This article critically evaluates recent trial data on pressure wires, explores their potential future applications, and debates whether invasive assessments of coronary physiology are becoming outdated.
Article Abstract
Recent years have seen the publication of several high-profile, negative trials about pressure wires. This has coincided with a consistent increase in the ratio of angioplasty for acute coronary syndromes versus percutaneous coronary intervention in stable coronary artery disease, a greater use of intracoronary imaging during percutaneous coronary intervention and the continued evolution of computational fluid dynamics-derived estimations of fractional flow reserve from both CT and invasive coronary angiography. Consequently, many interventional cardiologists now wonder if the pressure wire will soon become obsolete. This head-to-head article provides a critical appraisal of recent trial data, discusses a potential evolution in how pressure wires are used and debates the motion that the device (and by extension, invasive assessment of coronary physiology) has now had its day.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11287625 | PMC |
| http://dx.doi.org/10.15420/icr.2023.17 | DOI Listing |
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