Evidence map›Paper›PMID 34071299›Full record

ArticleJournal of clinical medicine2021

OCT-Derived Plaque Morphology and FFR-Determined Hemodynamic Relevance in Intermediate Coronary Stenoses.

Mariusz Tomaniak, Dorota Ochijewicz, Łukasz Kołtowski, Adam Rdzanek, Arkadiusz Pietrasik, Jacek Jąkała, Magdalena Slezak, Krzysztof P Malinowski, Martyna Zaleska, Jakub Maksym and 5 more

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–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

13 citing papers in PubMed.

  1. Impact of Epicardial plaQUe Composition and geomeTry on Coronary hEmodynamics and Flow in Patients With Coronary Artery Disease (iEquate).Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2025
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  6. Renal Dysfunction Increases Risk of Adverse Cardiovascular Events in 5-Year Follow-Up Study of Intermediate Coronary Artery Lesions.Medical science monitor : international medical journal of experimental and clinical research · 2024
    Article
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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

15 authors.

Mariusz TomaniakFirst Department of Cardiology, Medical University of Warsaw, 02-097 Warsaw, Poland.ORCID 0000-0001-8289-1393
Dorota OchijewiczFirst Department of Cardiology, Medical University of Warsaw, 02-097 Warsaw, Poland.ORCID 0000-0002-5212-6380
Łukasz KołtowskiFirst Department of Cardiology, Medical University of Warsaw, 02-097 Warsaw, Poland.
Adam RdzanekFirst Department of Cardiology, Medical University of Warsaw, 02-097 Warsaw, Poland.
Arkadiusz PietrasikFirst Department of Cardiology, Medical University of Warsaw, 02-097 Warsaw, Poland.
Jacek JąkałaKrakow Cardiovascular Research Institute, 30-055 Krakow, Poland.
Magdalena SlezakKrakow Cardiovascular Research Institute, 30-055 Krakow, Poland.
Krzysztof P MalinowskiKrakow Cardiovascular Research Institute, 30-055 Krakow, Poland.
Martyna ZaleskaFirst Department of Cardiology, Medical University of Warsaw, 02-097 Warsaw, Poland.
Jakub MaksymFirst Department of Cardiology, Medical University of Warsaw, 02-097 Warsaw, Poland.ORCID 0000-0003-2053-9946
Piotr BarusFirst Department of Cardiology, Medical University of Warsaw, 02-097 Warsaw, Poland.
Tomasz RolederKrakow Cardiovascular Research Institute, 30-055 Krakow, Poland.
Krzysztof J FilipiakFirst Department of Cardiology, Medical University of Warsaw, 02-097 Warsaw, Poland.
Grzegorz OpolskiFirst Department of Cardiology, Medical University of Warsaw, 02-097 Warsaw, Poland.ORCID 0000-0003-4744-2554
Janusz KochmanFirst Department of Cardiology, Medical University of Warsaw, 02-097 Warsaw, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundoptical coherence tomography (OCT) might allow identifying lesion features reportedly associated with plaque vulnerability and increased risk of clinical events. Previous studies on correlation between OCT and functional lesion significance indices reported contradictory results, yet integration of complementary information from both modalities is gaining increased interest. The aim of the study was to compare plaque morphology using OCT in hemodynamically relevant vs. non-relevant lesions by fractional flow reserve (FFR).

methodsconsecutive patients with intermediate grade coronary stenoses by angiography were evaluated by both FFR and OCT in this single-center study. Stenoses were labeled hemodynamically relevant in case of the FFR ≤ 0.80. Minimal lumen area (MLA), fibrous cap thickness (FCT), minimal cap thickness over the calcium, angle of the calcium, and necrotic core within the lesions were evaluated.

resultsa total of 105 patients (124 vessels) were analyzed. Of them, 65 patients were identified with at least one lesion identified as hemodynamically relevant by FFR (72 vessels, 58.1%). Lesions with FFR ≤0.80 presented with lower mean and minimal lumen area (3.46 ± 1.29 vs. 4.65 ± 2.19,

conclusionhemodynamic relevance of intermediate grade lesions correlated moderately with the luminal assessment by OCT. No differences were identified in the plaque morphology between relevant and non-relevant coronary stenoses by FFR.

Indexed as

fractional flow reserveoptical coherence tomographystable coronary artery disease

Identifiers

PMID34071299
PMCPMC8197966

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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.