To compare FFR guided complete revascularization during the index procedure with usual care in non-STEMI patients with multivessel disease.
Who can participate
Age range18 Years – 85 Years
SexALL
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Inclusion Criteria:
* Patients aged between 18-85 years presenting with non-STEMI according to current guidelines, who will be treated with PCI of the culprit and have at least one stenosis of \>50% in a non-IRA on QCA or visual estimation of baseline angiography and judged feasible for treatment with PCI by the operator.
* Non-IRA stenosis amenable for PCI treatment (operator's decision)
* Signed informed consent
Exclusion Criteria:
* Left main disease (stenosis \> 50%)
* Chronic total occlusion of a non-IRA
* Indication for or previous coronary artery bypass grafting
* Uncertain culprit lesion
* Complicated IRA treatment, e.g. extravasation, permanent no re-flow after IRA treatment (TIMI flow 0-1) and inability to implant a stent
* Known severe cardiac valve dysfunction that will require surgery or TAVI in the follow-up period.
* Killip class III or IV during the completion of culprit lesion treatment.
* Life expectancy of \< 1 year.
* Intolerance to Aspirin, Clopidogrel, Prasugrel, Ticagrelor or Heparin.
* Gastrointestinal or genitourinary bleeding within the prior 3 months.
* Planned elective surgical procedure necessitating interruption of thienopyridines during the first 6 months post enrolment.
* Patients who are actively participating in another drug or device investigational study, which have not completed the primary endpoint follow-up period.
* Pregnancy