Estudo randomizado | Em pacientes com doença arterial coronariana de 3 vasos, uma estratégia de intervenção coronariana percutânea guiada por reserva de fluxo fracionada (fractional flow reserve – FFR) NÃO mostrou resultados comparáveis à cirurgia de revascularização do miocárdio – A incidência de 1 ano do desfecho primário composto (morte, infarto miocárdico ou AVC) foi de 7,3% no grupo de intervenção percutânea e de 5,2% no grupo cirúrgico.

Fractional Flow Reserve–Guided PCI as Compared with Coronary Bypass Surgery – New England Journal of Medicine

Comentários:

FAME 3: PCI Fails to Demonstrate Noninferiority to Surgery in Three-Vessel CAD – TCTMD

FAME 3: FFR-Guided PCI vs. CABG in Patients With Three-Vessel CAD – American College of Cardiology

Fractional Flow Reserve Versus Angiography for Multivessel Evaluation 3 – FAME 3 – American College of Cardiology

Comentário no Twitter

In this trial, patients with three-vessel coronary artery disease, PCI guided by assessment of fractional flow reserve was not noninferior to CABG with respect to the composite end point of death, myocardial infarction, stroke, or repeat revascularization. https://t.co/uYZGZWub0T pic.twitter.com/zsghs2SlsA

— NEJM (@NEJM) November 4, 2021