1. 71 yo Man with typical angina, pos stress, CAD risk factors

2. 71 yo Man with typical angina, pos stress, CAD risk factors

3. 71 yo Man with typical angina, pos stress, CAD risk factors

4. 71 yo Man with typical angina, pos stress, CAD risk factors

5. FFR CFX
FFR CFX=0.88

6. Pressure wire to LAD, FFR 0.55, Balloon and stent

8. LAD Xience 3.5x18. 2nd LAD lesion? All done?
FFR = 0.68

9. 2nd LAD stent Xience 3x18. IVUS confirms stent apposition
FFR 0.89

10. Final Lessons: 1. Multivessel FFR evaluation identifies need for Stents 2. Serial Lad lesions demonstrate limitations of FFR for individual lesions 3. Final FFR helpful but IVUS is standard for stent placement