Evidence map›Paper›PMID 34233071›Full record

SynthesisCatheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions2022

Influence of fractional flow reserve on grafts patency: Systematic review and patient-level meta-analysis.

Gabor G Toth, Carlos Collet, Anne Langhoff Thuesen, Takuya Mizukami, Filip Casselman, Lars Peter Riber, Frank Van Praet, Anders Junker, Sakura Nagumo, Bernard De Bruyne and 2 more

Open access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 19% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Influence of fractional flow reserve on grafts patency: Systematic review and patient-level meta-analysis.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2022
    Pooled it
  2. Article
  3. Article
  4. Article
  5. 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

12 authors at 4 institutions in 6 countries.

Gabor G TothDivision of Cardiology, University Heart Center Graz, Medical University of Graz, Graz, Austria.ORCID 0000-0002-0283-9091
Carlos ColletCardiovascular Center Aalst, OLV Clinic, Aalst, Belgium.ORCID 0000-0003-0227-0082
Anne Langhoff ThuesenDepartment of Cardiothoracic Surgery, Odense University Hospital, Odense, Denmark.
Takuya MizukamiCardiovascular Center Aalst, OLV Clinic, Aalst, Belgium.
Filip CasselmanDepartement of Cardiovascular and Thoracic Surgery, OLV Hospital Aalst, Aalst, Belgium.
Lars Peter RiberDepartment of Cardiothoracic Surgery, Odense University Hospital, Odense, Denmark.
Frank Van PraetDepartement of Cardiovascular and Thoracic Surgery, OLV Hospital Aalst, Aalst, Belgium.
Anders JunkerDepartment of Cardiology, Odense University Hospital, Odense, Denmark.
Sakura NagumoCardiovascular Center Aalst, OLV Clinic, Aalst, Belgium.
Bernard De BruyneCardiovascular Center Aalst, OLV Clinic, Aalst, Belgium.
Lisette Okkels JensenDepartment of Cardiology, Odense University Hospital, Odense, Denmark.
Emanuele BarbatoCardiovascular Center Aalst, OLV Clinic, Aalst, Belgium.
Onze Lieve Vrouwziekenhuis Hospital · BEOdense University Hospital · DKMedical University of Graz · ATShowa University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the impact of invasive functional guidance for coronary artery bypass graft surgery (CABG) on graft failure.

backgroundData on the impact of fractional flow reserve (FFR) in guiding CABG are still limited.

methodsSystematic review and individual patient data meta-analysis were performed. Primary objective was the risk of graft failure, stratified by FFR. Risk estimates are reported as odds ratios (ORs) derived from the aggregated data using random-effects models. Individual patient data were analyzed using mixed effect model to assess relationship between FFR and graft failure. This meta-analysis is registered in PROSPERO (CRD42020180444).

resultsFour prospective studies comprising 503 patients referred for CABG, with 1471 coronaries, assessed by FFR were included. Graft status was available for 1039 conduits at median of 12.0 [IQR 6.6; 12.0] months. Risk of graft failure was higher in vessels with preserved FFR (OR 5.74, 95% CI 1.71-19.29). Every 0.10 FFR units decrease in the coronaries was associated with 56% risk reduction of graft failure (OR 0.44, 95% CI 0.34 to 0.59). FFR cut-off to predict graft failure was 0.79.

conclusionSurgical grafting of coronaries with functionally nonsignificant stenoses was associated with higher risk of graft failure.

Indexed as

Coronary Artery DiseaseCoronary StenosisFractional Flow Reserve, MyocardialCoronary AngiographyHumansProspective StudiesTreatment Outcomecoronary artery bypass surgeryfractional flow reservegraft patency

Identifiers

PMID34233071
PMCPMC9546321
OpenAlexW3182427540

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.