Evidence map›Paper›PMID 26012725›Full record

Observational studyCatheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions2016

When is rotational angiography superior to conventional single-plane angiography for planning coronary angioplasty?

Paul D Morris, Jane Taylor, Sara Boutong, Sarah Brett, Amal Louis, James Heppenstall, Allison C Morton, Julian P Gunn

Open access · hybridAbstract readComparative StudyObservational Study
In one paragraph

Observational study in Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 29% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Observational
  2. Dual-axis rotational coronary angiography versus conventional coronary angiography: a randomized comparison.Clinical research in cardiology : official journal of the German Cardiac Society · 2021
    Article
  3. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Paul D MorrisDepartment of Cardiovascular Science, University of Sheffield, United Kingdom.
Jane TaylorDepartment of Cardiovascular Science, University of Sheffield, United Kingdom.
Sara BoutongDepartment of Cardiovascular Science, University of Sheffield, United Kingdom.
Sarah BrettDepartment of Cardiology, Sheffield Teaching Hospitals, Sheffield, United Kingdom.
Amal LouisDepartment of Cardiology, Sheffield Teaching Hospitals, Sheffield, United Kingdom.
James HeppenstallDepartment of Cardiology, Sheffield Teaching Hospitals, Sheffield, United Kingdom.
Allison C MortonDepartment of Cardiology, Sheffield Teaching Hospitals, Sheffield, United Kingdom.
Julian P GunnDepartment of Cardiovascular Science, University of Sheffield, United Kingdom.
Sheffield Teaching Hospitals NHS Foundation Trust · GBUniversity of Sheffield · GBInsigneo · GB

Funding

British Heart Foundation FS/12/85/29869British Heart Foundation FS/16/48/32306British Heart Foundation R/134747-11-1Department of Health RC-PG-0309-10063
6 · The paper itself

Abstract

objectivesTo investigate the value of rotational coronary angiography (RoCA) in the context of percutaneous coronary intervention (PCI) planning.

backgroundAs a diagnostic tool, RoCA is associated with decreased patient irradiation and contrast use compared with conventional coronary angiography (CA) and provides superior appreciation of three-dimensional anatomy. However, its value in PCI remains unknown.

methodsWe studied stable coronary artery disease assessment and PCI planning by interventional cardiologists. Patients underwent either RoCA or conventional CA pre-PCI for planning. These were compared with the referral CA (all conventional) in terms of quantitative lesion assessment and operator confidence. An independent panel reanalyzed all parameters.

resultsSix operators performed 127 procedures (60 RoCA, 60 conventional CA, and 7 crossed-over) and assessed 212 lesions. RoCA was associated with a reduction in the number of lesions judged to involve a bifurcation (23 vs. 30 lesions, P < 0.05) and a reduction in the assessment of vessel caliber (2.8 vs. 3.0 mm, P < 0.05). RoCA improved confidence assessing lesion length (P = 0.01), percentage stenosis (P = 0.02), tortuosity (P < 0.04), and proximity to a bifurcation (P = 0.03), particularly in left coronary artery cases. X-ray dose, contrast agent volume, and procedure duration were not significantly different.

conclusionsCompared with conventional CA, RoCA augments quantitative lesion assessment, enhances confidence in the assessment of coronary artery disease and the precise details of the proposed procedure, but does not affect X-ray dose, contrast agent volume, or procedure duration.

Indexed as

Patient SelectionPercutaneous Coronary InterventionAgedContrast MediaCoronary AngiographyCoronary Artery DiseaseCoronary StenosisCoronary VesselsFemaleHumansImaging, Three-DimensionalMaleMiddle AgedPredictive Value of TestsRadiation DosageRadiation ExposureContrast Mediacoronary angiographypercutaneous coronary interventionrotational coronary angiography

Identifiers

PMID26012725
PMCPMC4855622
OpenAlexW2133110300

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.