Coronary disease & ACS

Rationale and design of the pullback pressure gradient (PPG) global registry

Am Heart JPublished Prospective multicentre registry

Authors' conclusion

This international, large-scale, prospective study with pre-specified powered hypotheses will determine the ability of the preprocedural PPG index to predict optimal revascularization assessed by post-PCI FFR.

Study context

Population
Patients with ≥1 lesion in a major epicardial vessel with distal fractional flow reserve (FFR) ≤ 0.80 intended for PCIplanned
Participants
982 patients
Outcome
Predictive capacity of pre-PCI PPG for post-PCI FFR (optimal PCI result: post-PCI FFR ≥ 0.88; hypothesised AUC ≥ 0.80)
Methodological detailsstudy design and rationale, controlled, investigator-initiated, international, Clinical follow-up up to 36 months; events adjudicated by independent clinical event committee
  • Study design and rationale
  • Controlled
  • Investigator-initiated
  • International
  • Clinical follow-up up to 36 months; events adjudicated by independent clinical event committee

Main finding

As reported in the abstract

  • Recruitment ongoing, expected completion second half of 2023; no results reported

Observational data: associations, not effects.

Original publication

Rationale and design of the pullback pressure gradient (PPG) global registry. Am Heart J. Published 21 August 2023. doi:10.1016/j.ahj.2023.07.016

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