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Dr.Umesh kotkar
Intracoronary Physiology FFR
Home ◈ Intracoronary Physiology FFR
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Intracoronary physiology assesses blood flow in coronary arteries to guide treatment decisions for coronary artery disease. Fractional Flow Reserve (FFR) is a key technique that measures pressure differences across blockages, determining if they significantly impair blood flow and require intervention. Dr Umesh Akkalkotkar, a Senior Consultant & Interventional Cardiologist at N.M. The Wadia Institute of Cardiology, Pune, specialises in FFR-guided procedures, ensuring precise, evidence-based care for complex cases, such as multi-vessel disease and chronic total occlusions.

What is Fractional Flow Reserve (FFR)?

FFR is a wire-based measurement performed during angiography, where a pressure sensor is inserted into the coronary artery to measure blood pressure. It calculates the ratio of blood pressure before and after a blockage, indicating functional significance.
  • How It Works: A guidewire with a sensor measures pressure; adenosine is used to simulate maximal blood flow. An FFR value of ≤0.80 suggests ischemia, warranting treatment such as angioplasty.
  • Key Features: Non-invasive within the procedure, provides objective data beyond visual angiography, and helps avoid unnecessary stents.
  • Applications: Ideal for ambiguous lesions, left main disease, and patients with comorbidities like diabetes.

    • Benefits of FFR-Guided Interventions

  • Improved Accuracy: Reduces false positives from angiography, resulting in more informed decision-making.
  • Cost-Effectiveness: Minimises overtreatment, lowering risks and healthcare costs.
  • Better Outcomes: Lowers rates of adverse events like heart attacks and repeat procedures by 20-30%.
  • Patient Safety: Minimally invasive, with quick recovery and enhanced quality of life.

    • Why Choose Dr Umesh Akkalkotkar for FFR?

  • Expertise: Extensive experience in physiology-guided PCI for high-risk patients.
  • Advanced Technology: Uses state-of-the-art FFR systems at N.M. Wadia Institute for precise results.
  • Patient-Focused Care: Comprehensive evaluations, clear communication, and a track record of successful outcomes.
  • Commitment to Excellence: Integrates FFR with imaging modalities such as IVUS/OCT for comprehensive care.
    • For coronary artery disease, FFR with Dr Akkalkotkar offers reliable, personalised solutions. Book a consultation to optimise your heart health.