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Volcano Corporation Commends the Elevation of FFR to Level of Evidence A in New PCI Guidelines
Date:12/22/2009

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"Realizing the limitations of the angiogram is not a huge surprise, but a key question that many physicians want answered is 'How often does the FFR get it wrong, and what are the consequences when that occurs?'" continued Hodgson. "One of the most compelling data points for me is that of the 513 lesions in FAME participants that FFR defined as 'non-ischemic' which were -- as a result -- not stented, only one of those lesions led to an MI after two years, or only 0.2%. That is remarkable. We must remember that every stent implanted has its own unique and real risk of adverse events - placing these stents is not 'free' from a patient risk perspective. Needless to say, I am very pleased that the ACC and AHA used FAME as an important reference point to upgrade the guidelines for FFR in intermediate lesions from Level B to Level A evidence."

The FAME study also demonstrated that adhering to an FFR-guided regimen for multi-vessel disease is cost-beneficial to the hospital and payers by reducing material costs by $675 per patient, lowering average length of hospitalization by 0.3 days and reducing the total patient treatment cost at 12-months by more than $2,000.

"FFR is not an expensive or cumbersome technology," according to Hodgson. "In fact, it is quite fast, easy to use, and available in virtually every cath lab in the United States and across Europe. Since FFR is widely available, can reduce risk for the patient and lowers health care costs, it is time for the interventional cardiology community to make FFR a part of their regular clinical routine. Here at Geisinger, we are integrating it into our ProvenPCI(SM) protocols to ensure that all patients get what evidence tells us is optimal care."

Patients diagnosed with heart disease are encouraged to talk to their physicians about treatment options. Treatments should be personalized to meet the individual needs of each patient and should take into consideration ma
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