Evidence map›Paper›PMID 30064500›Full record

ArticleEuropean journal of medical research2018

Dynamic coronary roadmapping during percutaneous coronary intervention: a feasibility study.

Kerstin Piayda, Laura Kleinebrecht, Shazia Afzal, Roland Bullens, Iris Ter Horst, Amin Polzin, Verena Veulemans, Lisa Dannenberg, Anna Christina Wimmer, Christian Jung and 4 more

Abstract read
In one paragraph

Article in European journal of medical research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

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

  1. Pooled it
  2. Dynamic Coronary Roadmap versus standard angiography for percutaneous coronary intervention: the randomised, multicentre DCR4Contrast trial.EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology · 2024
    Trial
  3. Article
  4. Review
  5. Precision percutaneous coronary intervention.NPJ cardiovascular health · 2026
    Review
  6. Article
  7. Real-World Evaluation of PCI Guidance Using Dynamic Coronary Roadmap: A DCR4Contrast Trial Secondary Analysis.Journal of the Society for Cardiovascular Angiography & Interventions · 2025
    Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Review
  13. Review
  14. Non-invasive imaging as the cornerstone of cardiovascular precision medicine.European heart journal. Cardiovascular Imaging · 2022
    Review
  15. Article
  16. Review
  17. Robotics, imaging, and artificial intelligence in the catheterisation laboratory.EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology · 2021
    Review
  18. Review
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

14 authors.

Kerstin PiaydaMedical Faculty, Division of Cardiology, Pulmonology and Vascular Medicine, Heinrich-Heine University, Moorenstr. 5, 40225, Düsseldorf, Germany.
Laura KleinebrechtMedical Faculty, Division of Cardiology, Pulmonology and Vascular Medicine, Heinrich-Heine University, Moorenstr. 5, 40225, Düsseldorf, Germany.
Shazia AfzalMedical Faculty, Division of Cardiology, Pulmonology and Vascular Medicine, Heinrich-Heine University, Moorenstr. 5, 40225, Düsseldorf, Germany.
Roland BullensPhilips Healthcare, Eindhoven, Netherlands.
Iris Ter HorstPhilips Healthcare, Eindhoven, Netherlands.
Amin PolzinMedical Faculty, Division of Cardiology, Pulmonology and Vascular Medicine, Heinrich-Heine University, Moorenstr. 5, 40225, Düsseldorf, Germany.
Verena VeulemansMedical Faculty, Division of Cardiology, Pulmonology and Vascular Medicine, Heinrich-Heine University, Moorenstr. 5, 40225, Düsseldorf, Germany.
Lisa DannenbergMedical Faculty, Division of Cardiology, Pulmonology and Vascular Medicine, Heinrich-Heine University, Moorenstr. 5, 40225, Düsseldorf, Germany.
Anna Christina WimmerMedical Faculty, Division of Cardiology, Pulmonology and Vascular Medicine, Heinrich-Heine University, Moorenstr. 5, 40225, Düsseldorf, Germany.
Christian JungMedical Faculty, Division of Cardiology, Pulmonology and Vascular Medicine, Heinrich-Heine University, Moorenstr. 5, 40225, Düsseldorf, Germany.
Florian BönnerMedical Faculty, Division of Cardiology, Pulmonology and Vascular Medicine, Heinrich-Heine University, Moorenstr. 5, 40225, Düsseldorf, Germany.
Malte KelmMedical Faculty, Division of Cardiology, Pulmonology and Vascular Medicine, Heinrich-Heine University, Moorenstr. 5, 40225, Düsseldorf, Germany.
Katharina HellhammerMedical Faculty, Division of Cardiology, Pulmonology and Vascular Medicine, Heinrich-Heine University, Moorenstr. 5, 40225, Düsseldorf, Germany.
Tobias ZeusMedical Faculty, Division of Cardiology, Pulmonology and Vascular Medicine, Heinrich-Heine University, Moorenstr. 5, 40225, Düsseldorf, Germany. zeus@med.uni-duesseldorf.de.ORCID http://orcid.org/0000-0002-4517-0068

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA novel software ("Dynamic Coronary Roadmap") was developed, which offers a real-time, dynamic overlay of the coronary tree on fluoroscopy. Once the roadmap has been automatically generated during angiography it can be used for navigation during percutaneous coronary interventions (PCI). As a feasibility study, we aimed to investigate the feasibility of real-time dynamic coronary roadmapping and consecutive coronary overlay during elective PCI. METHODS AND

resultsWe studied 936 overlay runs, created following the same amount of angiographies, which were generated during 36 PCIs. Feasibility of dynamic coronary roadmapping was analyzed using a dedicated software tool. Roadmap quality (correct dynamic imaging of the vessels without relevant artefacts or missing parts) was distinguished from overlay quality (congruence of dynamic coronary roadmapping and coronary anatomy). Additionally, we assessed procedural success and the occurrence of major cardiac and cerebrovascular events (MACCE). Roadmap quality was defined as "fit for use" in 99.5%. In 97.4% of runs overlay quality was deemed "fit for use". Overall, we observed low inter and intra observer variability (ICC R = 0.84 for roadmap quality and R = 0.75 for overlay quality). Procedural success rate was 100%. MACCE occurred in two (5.6%) patients during post-interventional in-hospital stay and were not software-related.

conclusionsDynamic coronary roadmapping provides in > 98% of cases sufficient roadmap quality with an anatomically correct overlay of the coronary vessels with good inter and intra observer variability. Future randomized studies are warranted to test possible advantages like procedure time reduction and less consumption of contrast medium.

Indexed as

SoftwareCerebrovascular DisordersCoronary AngiographyFeasibility StudiesFluoroscopyHeart DiseasesHumansPercutaneous Coronary InterventionTreatment OutcomeDynamic coronary roadmapImaging guided techniquePercutaneous coronary interventionReal-time overlay

Identifiers

PMID30064500
PMCPMC6069549

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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.