Blood flow blockages in heart measured using wireless fractional flow reserve technology
13 October 2009
St Jude Medical, Inc. (NYSE: STJ) has announced the first use of the PressureWire Aeris technology, an interventional tool which measures Fractional Flow Reserve (FFR) to evaluate the severity of blood flow blockages in the arteries.
The new diagnostic tool combines St Jude Medical’s PressureWire Aeris with GE’s Mac-Lab Hemodynamic Recording System. The technology helps interventional cardiologists better determine the ideal treatment option for their patients during coronary interventions, such as stent procedures.
The first procedures in the US were performed by Dr Mark Zolnick at CHRISTUS St Vincent Regional Medical Center in Santa Fe, New Mexico.
The PressureWire Aeris is a first-of-its-kind wireless FFR system which requires no additional equipment or cabling in the cardiac catheterization laboratory. Using the PressureWire Aeris technology, interventional cardiologists can accurately assess the severity of lesions.
Having this information available prior to placement of coronary stents helps physicians better determine which specific lesion or lesions are responsible for a patient’s ischemia, a deficiency of blood supply to the heart caused by blood restriction.
“Using the PressureWire Aeris helped me determine instantly and with certainty the best course of treatment for my patients. In the first case, I was able to decide that the narrowing of the arteries wasn’t severe enough to warrant stenting, and in the next I used the FFR technology to confirm the ideal stent placement,” said Dr. Mark Zolnick, a cardiologist at New Mexico Heart Institute.
“The PressureWire Aeris is extremely easy to use, reduces material costs and improves patient outcomes. From both a clinical and cost effectiveness perspective, I believe that this technology should be a standard of care.”
The landmark FAME trial, which compared FFR-guided treatment using St. Jude Medical PressureWire technology to stenting with angiography alone, found that in addition to saving about 11% in unnecessary material cost, instances of major adverse cardiovascular events, such as death, myocardial infarction and repeat revascularization, are reduced by 28%. The study also found that routine measurement of FFR requires no additional procedure time.
“St. Jude Medical is focused on providing physicians with technologies that aid them in making the best treatment decisions for their patients,” said Frank Callaghan, president of St. Jude Medical’s Cardiovascular Division. “PressureWire Aeris guides physicians to more accurately diagnose and treat their patients, significantly improving patient outcomes. Procedural set-up and workflow are also now improved, and having FFR measurements immediately accessible on existing cath lab instrumentation allows for quicker integration with patient records and a lower barrier to entry for the hospital to implement this patient-benefiting technology.”
The PressureWire Aeris system integrates FFR technology directly into the Mac-Lab Hemodynamic Recording System to immediately display, measure and save FFR data. With FFR results integrated into a patient’s existing study record, this is the only system on the market where the severity of coronary lesions is documented together with other procedural data and angiographic imagery.
The Mac-Lab FFR upgrade, which is available for the XT and XTi Mac-Lab configurations, combines existing catheterization lab infrastructure, including screens, input modules and controls, with the PressureWire Aeris technology to form a seamlessly integrated FFR measurement system, resulting in improved workflow.
The wireless technology of the PressureWire Aeris also eliminates cables crossing the sterile field, reducing variables and making the entire procedure faster and easier. Physicians can remove the device’s handle and insert a stent delivery system directly over the PressureWire Aeris, eliminating the time and cost of using an additional, traditional guidewire.
About Fractional Flow Reserve (FFR)
Fractional Flow Reserve (FFR) is an index determining the functional severity of narrowings in the coronary arteries, and it is measured by PressureWire Aeris. FFR specifically identifies which coronary narrowings are responsible for significantly obstructing the flow of blood to a patients’ heart muscle (called ischemia), and it is used by the interventional cardiologist to direct coronary interventions and assess results for improved treatment outcomes.
The landmark trial FAME (Fractional flow reserve (FFR) vs. Angiography in Multivessel Evaluation), which used St. Jude Medical PressureWire technology, was published in the Jan. 15, 2009 issue of the New England Journal of Medicine.
It demonstrated a statistically significant difference of 28% in Major Adverse Cardiac Events (MACE) such as death, myocardial infarction and repeat revascularization. The randomized, prospective, multi-center trial looked at 1,005 patients with multi-vessel coronary artery disease 12 months after receiving a stent, and compared outcomes for patients whose treatment was guided by FFR to those whose treatment was guided only by angiography.
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