ReviewCardiovascular diagnosis and therapy2020
The assessment of intermediate coronary lesions using intracoronary imaging.
Review in Cardiovascular diagnosis and therapy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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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.
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Who cites it
15 citing papers in PubMed.
- The Rise of Optical Coherent Tomography in Intracoronary Imaging: An Overview of Current Technology, Limitations, and Future Perspectives.Reviews in cardiovascular medicine · 2025Review
- Evaluating the Prognostic Nutritional Index for Predicting the Clinical Relevance of Angiographically Intermediate Coronary Lesions.Anatolian journal of cardiology · 2024Article
- Automated detection and classification of coronary atherosclerotic plaques on coronary CT angiography using deep learning algorithm.Quantitative imaging in medicine and surgery · 2024Article
- Triglyceride to high-density lipoprotein cholesterol ratio associated with long-term adverse clinical outcomes in patients deferred revascularization following fractional flow reserve.Lipids in health and disease · 2024Article
- Diagnostic performance of intravascular ultrasound-based fractional flow reserve in evaluating of intermediate left main stenosis.Journal of geriatric cardiology : JGC · 2024Article
- Intravascular Imaging versus Physiological Assessment versus Biomechanics-Which Is a Better Guide for Coronary Revascularization.Diagnostics (Basel, Switzerland) · 2023Review
- A case of percutaneous coronary intervention of the right coronary artery in a situs inversus patient with foreshortening of lesion revealed by intravenous ultrasound imaging technology.Oxford medical case reports · 2022Article
- Impact of machine-learning-based coronary computed tomography angiography-derived fractional flow reserve on decision-making in patients with severe aortic stenosis undergoing transcatheter aortic valve replacement.European radiology · 2022Article
- Diagnostic comparison of automatic and manual TIMI frame-counting-generated quantitative flow ratio (QFR) values.The international journal of cardiovascular imaging · 2022Article
- The Continuum of Invasive Techniques for the Assessment of Intermediate Coronary Lesions.Diagnostics (Basel, Switzerland) · 2022Review
- Imaging in Percutaneous Coronary Intervention.Reviews in cardiovascular medicine · 2022Review
- Optimising PCI by Intracoronary Image-guidance.Frontiers in cardiovascular medicine · 2022Review
- Intravascular imaging in coronary stent restenosis: Prevention, characterization, and management.Frontiers in cardiovascular medicine · 2022Review
- Review
- Angiography-derived physiology versus pressure wire-based fractional flow reserve for coronary revascularization guidance: A systematic review and meta-analysis.JRSM cardiovascular diseaseReview
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Intermediate coronary artery stenosis, defined as visual angiographic stenosis severity of between 30-70%, is present in up to one quarter of patients undergoing coronary angiography. Patients with this particular lesion subset represent a distinct clinical challenge, with operators often uncertain on the need for revascularization. Although international guidelines appropriately recommend physiological pressure-based assessment of these lesions utilizing either fractional flow reserve (FFR) or quantitative flow ratio (QFR), there are specific clinical scenarios and lesion subsets where the use of such indices may not be reliable. Intravascular imaging, mainly utilizing intravascular ultrasound (IVUS) and optical coherence tomography (OCT) represents an alternate and at times complementary diagnostic modality for the evaluation of intermediate coronary stenoses. Studies have attempted to validate these specific imaging measures with physiological markers of lesion-specific ischaemia with varied results. Intravascular imaging however also provides additional benefits that include portrayal of plaque morphology, guidance on stent implantation and sizing and may portend improved clinical outcomes. Looking forward, research in computational fluid dynamics now seeks to integrate both lesion-based physiology and anatomical assessment using intravascular imaging. This review will discuss the rationale and indications for the use of intravascular imaging assessment of intermediate lesions, while highlighting the current limitations and benefits to this approach.
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