Evidence map›Paper›PMID 34877828›Full record

ArticleKorean circulation journal2022

Differential Prognostic Implications of Pre- and Post-Stent Fractional Flow Reserve in Patients Undergoing Percutaneous Coronary Intervention.

Jinlong Zhang, Doyeon Hwang, Seokhun Yang, Chee Hae Kim, Joo Myung Lee, Chang-Wook Nam, Eun-Seok Shin, Joon-Hyung Doh, Masahiro Hoshino, Rikuta Hamaya and 9 more

Registry-linked trialAbstract read
In one paragraph

Article in Korean circulation journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04012281 (International Post PCI FFR Registry for Prognostic Factors After Coronary Stenting), which is not on this 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
–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.

NCT04012281 completednot on this map

International Post PCI FFR Registry for Prognostic Factors After Coronary Stenting

Typeobservational_patient_registrySponsorSeoul National University HospitalRan2010 to 2019Enrolled2,228ConditionsCoronary DiseaseArmsPercutaneous coronary intervention
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Observational
  3. Article
  4. Review
  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

19 authors.

Jinlong Zhang *Department of Cardiology, The Second Affiliated Hospital Zhejiang University School of Medicine, Hangzhou, China.ORCID https://orcid.org/0000-0003-4326-5087
Doyeon Hwang *Department of Internal Medicine and Cardiovascular Center, Seoul National University Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0002-0215-5319
Seokhun YangDepartment of Internal Medicine and Cardiovascular Center, Seoul National University Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0003-2078-3930
Chee Hae KimCardiovascular Center, Dongguk University Ilsan Hospital, Goyang, Korea.
Joo Myung LeeDivision of Cardiology, Department of Internal Medicine, Heart Vascular Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-2178-4014
Chang-Wook NamDepartment of Cardiology, Keimyung University Dongsan Medical Center, Daegu, Korea.ORCID https://orcid.org/0000-0002-3370-5774
Eun-Seok ShinDivision of Cardiology, Ulsan Hospital, Ulsan, Korea.ORCID https://orcid.org/0000-0002-9169-6968
Joon-Hyung DohDepartment of Cardiology, Inje University Ilsan Paik Hospital, Goyang, Korea. Joon.doh@gmail.com.ORCID https://orcid.org/0000-0001-7966-9564
Masahiro HoshinoDivision of Cardiovascular Medicine, Tsuchiura Kyodo General Hospital, Tsuchiura, Japan.ORCID https://orcid.org/0000-0003-3661-1914
Rikuta HamayaDivision of Cardiovascular Medicine, Tsuchiura Kyodo General Hospital, Tsuchiura, Japan.
Yoshihisa KanajiDivision of Cardiovascular Medicine, Tsuchiura Kyodo General Hospital, Tsuchiura, Japan.ORCID https://orcid.org/0000-0001-6535-4377
Tadashi MuraiDivision of Cardiovascular Medicine, Tsuchiura Kyodo General Hospital, Tsuchiura, Japan.ORCID https://orcid.org/0000-0002-6766-4296
Jun-Jie ZhangDivision of Cardiology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.ORCID https://orcid.org/0000-0003-2710-8516
Fei YeDivision of Cardiology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.ORCID https://orcid.org/0000-0002-8939-2922
Xiaobo LiDivision of Cardiology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.
Zhen GeDivision of Cardiology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.
Shao-Liang ChenDivision of Cardiology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.ORCID https://orcid.org/0000-0002-3887-952X
Tsunekazu KakutaDivision of Cardiovascular Medicine, Tsuchiura Kyodo General Hospital, Tsuchiura, Japan.ORCID https://orcid.org/0000-0002-4004-5292
Bon-Kwon KooDepartment of Internal Medicine and Cardiovascular Center, Seoul National University Hospital, Seoul, Korea. bkkoo@snu.ac.kr.ORCID https://orcid.org/0000-0002-8188-3348

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesThe influence of pre-intervention coronary physiologic status on outcomes post percutaneous coronary intervention (PCI) is not well known. We sought to investigate the prognostic implications of pre-PCI fractional flow reserve (FFR) combined with post-PCI FFR.

methodsA total of 1,479 PCI patients with pre-and post-PCI FFR data were analyzed. The patients were classified according to the median values of pre-PCI FFR (0.71) and post-PCI FFR (0.88). The primary outcome was target vessel failure (TVF) at 2 years.

resultsThe risk of TVF was higher in the low pre-PCI FFR group than in the high pre-PCI FFR group (hazard ratio, 1.82; 95% confidence interval, 1.15-2.87; p=0.011). In 4 group comparisons, the cumulative incidences of TVF at 2 years were 3.8%, 4.1%, 4.8%, and 10.2% in the high pre-/high post-, low pre-/high post-, high pre-/low post-, and low pre-/low post-PCI FFR groups, respectively. The risk of TVF was the highest in the low pre-/low post-PCI FFR group among the groups (p values for comparisons <0.05). In addition, the high pre-/low post-PCI FFR group presented a comparable risk of TVF with the high post-PCI FFR groups (p values for comparison >0.05). When the prognostic value of the post-PCI FFR was evaluated according to the pre-PCI FFR, the risk of TVF significantly decreased with an increase in post-PCI FFR in the low pre-PCI FFR group, but not in the high pre-PCI FFR group.

conclusionsPre-PCI FFR was associated with clinical outcomes after PCI, and the prognostic value of post-PCI FFR differed according to the pre-PCI FFR.

trial registrationClinicalTrials.gov Identifier: NCT04012281.

Indexed as

Coronary artery diseasePercutaneous coronary interventionPrognosis

Identifiers

PMID34877828
PMCPMC8738713

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Registered trials

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.