Evidence map›Paper›PMID 36321612›Full record

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

Diagnostic accuracy of angiography-based vessel fractional flow reserve after chronic coronary total occlusion recanalization.

Alessandra Scoccia, Paola Scarparo, Tara Neleman, Hala Kakar, Jeroen Wilschut, Wijnand K Den Dekker, Felix Zijlstra, Nicolas M Van Mieghem, Joost Daemen, Roberto Diletti

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report 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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 35% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Diagnostic accuracy of angiography-based vessel fractional flow reserve after chronic coronary total occlusion recanalization.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2022
    Trial
  2. 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

10 authors at 1 institution in 1 country.

Alessandra ScocciaDepartment of Cardiology, Erasmus Medical University Center, Rotterdam, The Netherlands.
Paola ScarparoDepartment of Cardiology, Erasmus Medical University Center, Rotterdam, The Netherlands.ORCID 0000-0001-6812-3814
Tara NelemanDepartment of Cardiology, Erasmus Medical University Center, Rotterdam, The Netherlands.
Hala KakarDepartment of Cardiology, Erasmus Medical University Center, Rotterdam, The Netherlands.
Jeroen WilschutDepartment of Cardiology, Erasmus Medical University Center, Rotterdam, The Netherlands.
Wijnand K Den DekkerDepartment of Cardiology, Erasmus Medical University Center, Rotterdam, The Netherlands.
Felix ZijlstraDepartment of Cardiology, Erasmus Medical University Center, Rotterdam, The Netherlands.
Nicolas M Van MieghemDepartment of Cardiology, Erasmus Medical University Center, Rotterdam, The Netherlands.ORCID 0000-0002-2732-1205
Joost DaemenDepartment of Cardiology, Erasmus Medical University Center, Rotterdam, The Netherlands.ORCID 0000-0001-9081-5518
Roberto DilettiDepartment of Cardiology, Erasmus Medical University Center, Rotterdam, The Netherlands.ORCID 0000-0002-2344-6705
Erasmus MC · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAngiography-based vessel fractional flow reserve (vFFR) demonstrated a strong correlation with invasive fractional flow reserve (FFR) in both a pre- and post-percutaneous coronary intervention (PCI) setting. However, the role of vFFR and its correlation with post-PCI FFR in chronic coronary occlusions (CTO) has not been evaluated yet. We sought to investigate the diagnostic performance of post-PCI vFFR with post-PCI FFR as a reference in patients undergoing successful CTO PCI.

methodsBetween March 2016 and April 2020, a total of 80 patients from the FFR-SEARCH (prospective registry) and FFR REACT (randomized controlled trial) studies underwent successful CTO recanalization with post-PCI FFR measurements.

resultsA total of 50 patients (median age 66 (interquartile range [IQR]: 56-74) years, 76% were male) were eligible for the analysis. Median post-PCI FFR was 0.89 (IQR: 0.84-0.94), while median post-PCI vFFR was 0.91 (IQR: 0.85-0.94) (p 0.10). Suboptimal physiological results, defined as FFR and vFFR <0.90, were identified in 26 (52%) and in 21 (42%) patients, respectively. A strong correlation (r = 0.82) was found between vFFR and FFR with a mean bias of 0.013 ± 0.051. Receiver-operating characteristics curve analysis revealed an excellent accuracy of vFFR in predicting FFR <0.90 (area under the curve: 0.97; 95% confidence interval: 0.93-1.00).

conclusionPost-PCI vFFR shows a good correlation with post-PCI FFR and a high diagnostic accuracy for post-PCI FFR ≤0.90 in patients undergoing successful PCI of a CTO lesion.

Indexed as

Coronary Artery DiseaseFractional Flow Reserve, MyocardialPercutaneous Coronary InterventionAgedCoronary AngiographyFemaleHumansMaleMiddle AgedPredictive Value of TestsTreatment Outcome3D-QCAchronic total occlusioncoronary physiologyfractional flow reservepercutaneous coronary interventionpost percutaneous coronary intervention physiologyquantitative coronary angiographyvessel fractional flow reserve

Identifiers

PMID36321612
PMCPMC10092024
OpenAlexW4307973254

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.