Coronary disease & ACS

Prognostic Value of Murray Law-Based Quantitative Flow Ratio (QFR) (μQFR)-Guided Virtual Percutaneous Coronary Intervention (PCI) in Patients With Physiological Ischemia

Circ Cardiovasc IntervPublished Randomised controlled trial

Primary result · Optimal physiological outcome (post-PCI μQFR ≥0.90)Result — go to the resultAbsolute difference 9.1% 95% CI 4.53–13.76

Authors' conclusion

The QUITE RIGHT study showed that the μQFR-guided virtual PCI strategy is superior to angiography-guided PCI in terms of physiological outcomes.

Study context

Population
Patients with physiological ischemia undergoing PCI
Participants
622 patients666 vessels
Comparison
μQFR-guided virtual PCI vs angiography-guided PCI
Primary endpoint
Proportion of target vessels with post-PCI μQFR ≥0.90 (optimal post-PCI physiological outcome)
Follow-up
Post-PCI
Methodological detailsprospective, multicentre, blinded, superiority, 1:1 randomisation
  • Prospective
  • Multicentre
  • Blinded
  • Superiority
  • 1:1 randomisation

Primary result

As reported in the abstract

Optimal physiological outcome (post-PCI μQFR ≥0.90)

Absolute difference

9.1%

95% CI 4.53–13.76

P < 0.001

μQFR-guided virtual PCIvs Angiography-guided PCI
absolute difference 9.1% (95% CI 4.53–13.76); P < 0.001

Further findings

μQFR-guided virtual PCI: better QFR value, lower contrast and x-ray dose, more appropriate stent length vs angiography-guided

Original publication

Prognostic Value of Murray Law-Based QFR (μQFR)-Guided Virtual PCI in Patients With Physiological Ischemia. Circ Cardiovasc Interv. Published 25 September 2024. doi:10.1161/circinterventions.124.014362

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