iFR Scout Pullback Measurements ™

Step 1: iFR® Spot Measurement

„„ Prepare the pressure wire according to Instructions For Use TREAT 0.89 1
DEFER
cut point
„„ NORMALIZE pressure wire and advance distal to all lesions in the vessel iFR Zone FFR Zone iFR Zone
„„ Flush contrast out of the guide catheter and wait for Pa to stabilize
„„ Press RECORD to determine the iFR® value or review the LIVE iFR® value 0.7 0.8 0.86 0.93 1.0

Step 2: iFR Scout™ Pullback

„„ Tighten hemostasis valve to avoid blood loss but so that
pressure guide wire can still be pulled back
Press PULLBACK
„„

After the blue lines appear, wait until the blue line stabilizes
„„

and the iFR® value displays a similar result to the “spot”

iFR® measurement previously recorded (+/- 2)
Slowly pullback the pressure wire at a constant speed
„„

(20-30 sec) while observing the sensor position under fluoro

(sensor is located just proximal to the radio-opaque tip)
„„ Press BOOKMARK on the console to flag areas of interest,
such as lesions, during the pullback recording
„„ Press STOP when complete

Step 3: Review the Results

„„ If the pullback was performed
at relatively constant speed:
»»Steeper slopes may 3
indicate focal disease 3
2
»»More gradual slopes
may indicate diffuse disease 2 1
1
„„ The wave free period is
highlighted in green (this is
where iFR® calculations
are made) Which areas of the vessel The iFR Scout™ pullback shows that the vessel
are most physiologically is physiologically significant, with areas of
significant? focal disease (1 and 2) and diffuse disease(3).

Step 4: Use iFR Scout™ Results to Help You Make Informed Treatment Decisions
„„ Follow standard lab protocol to treat the lesion(s) if applicable Plan the Treatment Strategy Confirm the Result
iFR ®
iFR®
Distal Distal

0.85 0.92
1.00 1.00

0.95 0.95

0.90 0.90

0.85 0.85

0.80 0.80
5 10 15 20 25 30 5 10 15 20 25 30

The most significant gradient is in the After placing two DES in the areas
mid-vessel lesion with diffuse proximal of focal disease, iFR Scout pullback
disease. demonstrates a functional gain from
0.85 to 0.92.

Step 5: Compare the “Pre-Pullback” to the “Post-Pullback”

„„ Observe your FUNCTIONAL GAIN by making a final pullback
»» Reposition the radio-opaque sensor at the same initial position
distally in the vessel from the previous measurement

»» After the Post-pullback recording, ensure that the iFR® scale

is identical to the previous pre-pullback recording. If necessary,
adapt the iFR® scale in “OPTION” menu and “iFR® Pullback Range”

1. An iFR cut-point of 0.89 matches best with an FFR ischemic cut-point of 0.80 with a specificity of 87.8%
and sensitivity of 73.0%. (iFR Operator’s Manual 505-0101.23).

For further information about Volcano and its products, please visit www.volcanocorp.com.
Volcano, the Volcano logo, and iFR are registered trademarks of Volcano Corporation.
iFR Scout a trademark of Volcano Corporation. 603.0600.24/001