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Related Experiment Video

Updated: Dec 5, 2025

Evaluation of Coronary Flow Reserve After Myocardial Ischemia Reperfusion in Rats
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Fractional flow reserve.

Om Prakash Yadava1, Filip Casselman2

  • 1National Heart Institute, New Delhi, India.

Indian Journal of Thoracic and Cardiovascular Surgery
|October 16, 2020
PubMed
Summary

Physiologically guided surgery improves outcomes for heart revascularization. The GRAFITTI Trial will assess if this approach benefits surgical myocardial revascularization, addressing a current evidence gap.

Area of Science:

  • Cardiovascular Surgery
  • Interventional Cardiology
  • Clinical Trials

Background:

  • Physiologically guided coronary revascularization demonstrates superior outcomes and resource utilization in percutaneous interventions.
  • The effectiveness of this approach in surgical myocardial revascularization remains largely uninvestigated.
  • A need exists to establish the evidence base for physiological guidance in surgical revascularization.

Purpose of the Study:

  • To evaluate the applicability and effectiveness of physiologically driven coronary revascularization in the context of surgical myocardial revascularization.
  • To address the current lack of evidence regarding physiological guidance in surgical revascularization procedures.
  • To present the rationale and design of the GRAFITTI Trial, investigating this specific clinical question.
Keywords:
Fractional flow reserveGRAFITTI TrialRevascularization

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Main Methods:

  • The GRAFITTI Trial is designed to bridge the evidence gap concerning physiologically driven surgical myocardial revascularization.
  • The trial's rationale and design are discussed by Dr. F Casselman.
  • Specific methodologies for assessing physiological guidance in surgical revascularization will be detailed within the trial protocol.

Main Results:

  • Results are pending as the GRAFITTI Trial is designed to generate this evidence.
  • The study aims to provide data on outcomes and resource utilization for physiologically guided surgical revascularization.
  • This research will contribute novel insights into optimizing surgical myocardial revascularization strategies.

Conclusions:

  • The GRAFITTI Trial is crucial for establishing the role of physiological guidance in surgical myocardial revascularization.
  • Evidence from this trial could lead to improved patient outcomes and resource allocation in cardiac surgery.
  • This study addresses a critical knowledge gap in cardiovascular medicine.