SCAI 2026 Angio-Derived Physiology: Data, Technology, and Clinical Integration-Historical and Comparative Data, Dr. Sutton

Historical and Comparative Data, Dr. Sutton

Video Transcription

Video Summary

The speaker reviews coronary physiology tools, focusing on angiography-based methods like FFR-angio and QFR. They explain how FFR-angio works, its image requirements, and how it compares with invasive physiology. Guidelines currently lag behind evidence, though European and U.S. documents acknowledge related validated technologies. Clinical outcomes matter most: a 2024 QFR trial failed noninferiority and showed higher MACE versus invasive FFR. In contrast, the PROVISION trial found FFR-angio noninferior for revascularization decisions, with similar MACE, lower costs, and less radiation. The speaker concludes FFR-angio is fast, useful in multivessel disease, and valuable in the cath lab.

Asset Caption

closed captions are computer-generated

Keywords

coronary physiology

FFR-angio

QFR

angiography-based methods

revascularization decisions