Evidence map›Paper›PMID 36359502›Full record

ReviewDiagnostics (Basel, Switzerland)2022

Fractional Flow Reserve-Guided Coronary Revascularization: Evidence from Randomized and Non-Randomized Studies.

Luca Paolucci, Fabio Mangiacapra, Michele Mattia Viscusi, Annunziata Nusca, Giuseppe Zimbardo, Pio Cialdella, Michael Edward Donahue, Leonardo Calò, Gian Paolo Ussia, Francesco Grigioni

Abstract readReview
In one paragraph

Review in Diagnostics (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

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

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

  1. Pooled it
  2. Article
  3. 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.

Luca PaolucciUnit of Cardiovascular Science, Department of Medicine, Campus Bio-Medico University, 00128 Rome, Italy.
Fabio MangiacapraUnit of Cardiovascular Science, Department of Medicine, Campus Bio-Medico University, 00128 Rome, Italy.
Michele Mattia ViscusiUnit of Cardiovascular Science, Department of Medicine, Campus Bio-Medico University, 00128 Rome, Italy.
Annunziata NuscaUnit of Cardiovascular Science, Department of Medicine, Campus Bio-Medico University, 00128 Rome, Italy.
Giuseppe ZimbardoDivision of Cardiology, Policlinic Casilino, 00169 Rome, Italy.
Pio CialdellaDivision of Cardiology, Policlinic Casilino, 00169 Rome, Italy.
Michael Edward DonahueDivision of Cardiology, Policlinic Casilino, 00169 Rome, Italy.
Leonardo CalòDivision of Cardiology, Policlinic Casilino, 00169 Rome, Italy.
Gian Paolo UssiaUnit of Cardiovascular Science, Department of Medicine, Campus Bio-Medico University, 00128 Rome, Italy.
Francesco GrigioniUnit of Cardiovascular Science, Department of Medicine, Campus Bio-Medico University, 00128 Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Simple visual estimation of coronary angiography is limited by several factors that can hinder the proper classification of coronary lesions. Fractional flow reserve (FFR) is the most widely used tool to perform a physiological evaluation of coronary stenoses. Compared to isolated angiography, FFR has been demonstrated to be more effective in selecting those lesions associated with myocardial ischemia and, accordingly, impaired outcomes. At the same time, deferring coronary intervention in those lesions that do not show ischemic FFR values has proven safe and not associated with adverse events. Despite a major randomized clinical trial (RCT) and several non-randomized studies showing that FFR-guided revascularization could be superior to isolated angiography in improving clinical outcomes, subsequent RCTs have reported conflicting results. In this review, we summarize the principles behind FFR and the data currently available in the literature, highlighting the main differences between randomized and non-randomized studies that investigated this topic.

Indexed as

coronary artery diseasecoronary revascularizationfractional flow reserve

Identifiers

PMID36359502
PMCPMC9689124

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.