Evidence map›Paper›PMID 36991293›Full record

ArticleJournal of cardiovascular translational research2023

Clinical Value of Computational Angiography-derived Fractional Flow Reserve in Stable Coronary Artery Disease.

Calvin Ka-Lam Leung, Lok-Yee Lam, Kwan-Yu Li, Yundi Feng, Gaozhen Cao, Min Wu, Run Wang, Mei-Zhen Wu, Qing-Wen Ren, Si-Yeung Yu and 6 more

Abstract read
PubMed Publisher
In one paragraph

Article in Journal of cardiovascular translational research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.3field-weighted citation impact, top 21% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  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

16 authors at 4 institutions in 2 countries.

Calvin Ka-Lam LeungDivision of Cardiology, Department of Medicine, the University of Hong Kong Shenzhen Hospital, Shenzhen, China.
Lok-Yee LamDivision of Cardiology, Department of Medicine, the University of Hong Kong Shenzhen Hospital, Shenzhen, China.
Kwan-Yu LiDivision of Cardiology, Department of Medicine, the University of Hong Kong Shenzhen Hospital, Shenzhen, China.
Yundi FengPKU-HKUST Shenzhen-Hongkong Institution, Shenzhen, China.
Gaozhen CaoDivision of Cardiology, Department of Medicine, the University of Hong Kong Shenzhen Hospital, Shenzhen, China.
Min WuDivision of Cardiology, Department of Medicine, the University of Hong Kong Shenzhen Hospital, Shenzhen, China.
Run WangDivision of Cardiology, Department of Medicine, the University of Hong Kong Shenzhen Hospital, Shenzhen, China.
Mei-Zhen WuDivision of Cardiology, Department of Medicine, the University of Hong Kong Shenzhen Hospital, Shenzhen, China.
Qing-Wen RenDivision of Cardiology, Department of Medicine, the University of Hong Kong Shenzhen Hospital, Shenzhen, China.
Si-Yeung YuDivision of Cardiology, Department of Medicine, the University of Hong Kong, Queen Mary Hospital, Room 1929B/K1931, 19/F, Block K, Hong Kong, China.
Yi-Kei TseDivision of Cardiology, Department of Medicine, the University of Hong Kong, Queen Mary Hospital, Room 1929B/K1931, 19/F, Block K, Hong Kong, China.
Hang-Long LiDivision of Cardiology, Department of Medicine, the University of Hong Kong, Queen Mary Hospital, Room 1929B/K1931, 19/F, Block K, Hong Kong, China.
Shuk-Yin YuDivision of Cardiology, Department of Medicine, the University of Hong Kong, Queen Mary Hospital, Room 1929B/K1931, 19/F, Block K, Hong Kong, China.
Hung-Fat TseDivision of Cardiology, Department of Medicine, the University of Hong Kong Shenzhen Hospital, Shenzhen, China.
Bo XuNational Center for Cardiovascular Diseases, Fu Wai Hospital, Chinese Academy of Medical Sciences, Beijing, China.
Kai-Hang YiuDivision of Cardiology, Department of Medicine, the University of Hong Kong Shenzhen Hospital, Shenzhen, China. khkyiu@hku.hk.ORCID 0000-0003-2145-3108
Queen Mary Hospital · CNUniversity of Hong Kong - Shenzhen Hospital · CNChinese Academy of Medical Sciences & Peking Union Medical College · CNHong Kong University of Science and Technology · HK

Funding

HKU-SZH Fund for Shenzhen Key Medical Discipline SZXK2020081Sanming Grant from the Ministry of Health SZSM201911020
6 · The paper itself

Abstract

The utilization of FFR remains low. Our study evaluated the per-vessel prognostic value of computational pressure-flow dynamics-derived FFR (caFFR) among patients with stable coronary artery disease. A total of 3329 vessels from 1308 patients were included and analysed. They were stratified into ischaemic (caFFR ≤ 0.8) and non-ischaemic (caFFR > 0.8) cohorts, and the associations between PCI and outcomes were evaluated. The third cohort comprised all included vessels, and the associations between treatment adherent-to-caFFR (PCI in vessels with caFFR ≤ 0.8 and no PCI in vessels with caFFR > 0.8) and outcomes were evaluated. The primary outcome was VOCE, defined as a composite of vessel-related cardiovascular mortality, non-fatal myocardial infarction, and repeat revascularization. PCI was associated with a lower 3-year risk of VOCE in the ischaemic cohort (HR, 0.44; 95% CI, 0.26-0.74; P = 0.002) but not in the non-ischaemic cohort. The risk of VOCE was lower in the adherent-to-caFFR group (n = 2649) (HR, 0.69; 95% CI, 0.48-0.98; P = 0.039). A novel index that uses coronary angiography images to estimate FFR may have substantial clinical value in guiding management among patients with stable coronary artery disease.

Indexed as

Coronary Artery DiseaseFractional Flow Reserve, MyocardialPercutaneous Coronary InterventionCoronary AngiographyHumansPredictive Value of TestsTreatment OutcomeComputational pressure-flow dynamicsCoronary angiographyCoronary artery diseaseFractional flow reservePercutaneous coronary intervention

Identifiers

PMID36991293
OpenAlexW4361284654

What OpenQuestion holds

Textmetadata
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.