Evidence map›Paper›PMID 28028693›Full record

ArticleJournal of cardiovascular translational research2017

A Study of Coronary Bifurcation Shape in a Normal Population.

Pau Medrano-Gracia, John Ormiston, Mark Webster, Susann Beier, Chris Ellis, Chunliang Wang, Örjan Smedby, Alistair Young, Brett Cowan

Abstract read
In one paragraph

Article in Journal of cardiovascular translational research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Systematic review and meta-analysis of Murray's law in the coronary arterial circulation.American journal of physiology. Heart and circulatory physiology · 2024
    Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. [Hemodynamics simulation and analysis of left coronary artery aneurysms with concomitant stenosis].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 2024
    Article
  8. Article
  9. Article
  10. Percutaneous coronary intervention of bifurcation lesions.EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology · 2022
    Article
  11. Article
  12. Review
  13. How to ValidateFrontiers in medical technology · 2021
    Article
  14. Observational
  15. Article
  16. Morphological analysis of sigmoid sinus anatomy: clinical applications to neurotological surgery.Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale · 2019
    Article
  17. Article
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

9 authors.

Pau Medrano-GraciaDepartment of Anatomy and Medical Imaging, University of Auckland, Auckland, New Zealand. p.medrano@auckland.ac.nz.ORCID http://orcid.org/0000-0002-6255-4864
John OrmistonAuckland Heart Group, Auckland, New Zealand.
Mark WebsterAuckland City Hospital, Auckland, New Zealand.
Susann BeierDepartment of Anatomy and Medical Imaging, University of Auckland, Auckland, New Zealand.
Chris EllisAuckland Heart Group, Auckland, New Zealand.
Chunliang WangSchool of Technology and Health, KTH Royal Institute of Technology, Brinellvägen 8, Stockholm, Sweden.
Örjan SmedbySchool of Technology and Health, KTH Royal Institute of Technology, Brinellvägen 8, Stockholm, Sweden.
Alistair YoungDepartment of Anatomy and Medical Imaging, University of Auckland, Auckland, New Zealand.
Brett CowanDepartment of Anatomy and Medical Imaging, University of Auckland, Auckland, New Zealand.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

During percutaneous coronary intervention, stents are placed in narrowings of the arteries to restore normal blood flow. Despite improvements in stent design, deployment techniques and drug-eluting coatings, restenosis and stent thrombosis remain a significant problem. Population stent design based on statistical shape analysis may improve clinical outcomes. Computed tomographic (CT) coronary angiography scans from 211 patients with a zero calcium score, no stenoses and no intermediate artery, were used to create statistical shape models of 446 major coronary artery bifurcations (left main, first diagonal and obtuse marginal and right coronary crux). Coherent point drift was used for registration. Principal component analysis shape scores were tested against clinical risk factors, quantifying the importance of recognised shape features in intervention including size, angles and curvature. Significant differences were found in (1) vessel size and bifurcation angle between the left main and other bifurcations; (2) inlet and curvature angle between the right coronary crux and other bifurcations; and (3) size and bifurcation angle by sex. Hypertension, smoking history and diabetes did not appear to have an association with shape. Physiological diameter laws were compared, with the Huo-Kassab model having the best fit. Bifurcation coronary anatomy can be partitioned into clinically meaningful modes of variation showing significant shape differences. A computational atlas of normal coronary bifurcation shape, where disease is common, may aid in the design of new stents and deployment techniques, by providing data for bench-top testing and computational modelling of blood flow and vessel wall mechanics.

Indexed as

Computed Tomography AngiographyAgedComputer-Aided DesignCoronary AngiographyCoronary VesselsFemaleHumansMaleMiddle AgedModels, CardiovascularPatient-Specific ModelingPercutaneous Coronary InterventionPredictive Value of TestsPrincipal Component AnalysisProsthesis DesignRadiographic Image Interpretation, Computer-AssistedAtlasingCoronary bifurcation anatomyCT angiography

Identifiers

PMID28028693
PMCPMC5323506

What OpenQuestion holds

Textmetadata
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.