In modern days, we are enjoying much improvement in procedural gadgets making intervention more scientific rational and complication free. with the help of iFR, we can avoid putting an unnecessary stent;
In case of a more than 80% disease, we can go for a stent placement, in less than 50 % disease, we put the patient on medical therapy, but in 50 to 80% blockage disease, which is called a borderline disease, treatment is somewhere in gray zone.Now here in this situation we can use iFR to evaluate further, if iFR comes positive, we put a stent, otherwise not, thus making treatment more comprehensive , rational and scientific.
With OCT/IVUS we can evaluate coronary tree in direct vision and plan accordingly the stent sizing , proper gadget support and achieve better stent placement for longer duration of symptom free life.