Evidence map›Paper›PMID 37171503›Full record

ArticleEuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology2023

Applied coronary physiology for planning and guidance of percutaneous coronary interventions. A clinical consensus statement from the European Association of Percutaneous Cardiovascular Interventions (EAPCI) of the European Society of Cardiology.

Javier Escaned, Colin Berry, Bernard De Bruyne, Asad Shabbir, Carlos Collet, Joo Myung Lee, Yolande Appelman, Emanuele Barbato, Simone Biscaglia, Piotr P Buszman and 21 more

Open access · bronzeAbstract readConsensus Statement
In one paragraph

Article in EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 4 pooled it
24.4field-weighted citation impact, top 1% 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

33 citing papers in PubMed, 4 syntheses or guidelines pooled it, 77 citations in OpenAlex.

  1. Pooled it
  2. P2YBMJ (Clinical research ed.) · 2025
    Pooled it
  3. Completeness, timing, and guidance of percutaneous coronary intervention for myocardial infarction and multivessel disease: a systematic review and network meta-analysis.EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology · 2025
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  11. The Treatment of Complex Coronary Artery Disease.Reviews in cardiovascular medicine · 2025
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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

31 authors at 13 institutions in 16 countries.

Javier EscanedHospital Clínico San Carlos IdISCC, Complutense University of Madrid, Madrid, Spain.
Colin BerryInstitute of Cardiovascular & Medical Sciences, BHF Glasgow Cardiovascular Research Centre, University of Glasgow, Glasgow, UK.
Bernard De BruyneCardiovascular Center Aalst, OLV Clinic, Aalst, Belgium.
Asad ShabbirHospital Clínico San Carlos IdISCC, Complutense University of Madrid, Madrid, Spain.
Carlos ColletCardiovascular Center Aalst, OLV Clinic, Aalst, Belgium.
Joo Myung LeeDivision of Cardiology, Department of Internal Medicine, Heart Vascular Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
Yolande AppelmanAmsterdam UMC, Department of Cardiology, Amsterdam Cardiovascular Sciences, Amsterdam, the Netherlands.
Emanuele BarbatoCardiovascular Center Aalst, OLV Clinic, Aalst, Belgium.
Simone BiscagliaCardiology Unit, Azienda Ospedaliero Universitaria di Ferrara, Cona, Italy.
Piotr P BuszmanAndrzej Frycz Modrzewski Kraków University, Kraków, Poland.
Gianluca CampoCardiology Unit, Azienda Ospedaliero Universitaria di Ferrara, Cona, Italy.
Alaide ChieffoInterventional Cardiology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Róisín ColleranCardiovascular Research Institute Dublin and Department of Cardiology, Mater Private Network, Dublin, Ireland;
Damien CollisonWest of Scotland Regional Heart & Lung Centre, Golden Jubilee National Hospital, Glasgow, UK;
Justin DaviesImperial College Healthcare NHS Trust, Hammersmith Hospital, London, UK;
Daniele GiacoppoCardiovascular Research Institute Dublin and Department of Cardiology, Mater Private Network, Dublin, Ireland;
Niels R. HolmDepartment of Cardiology, Aarhus University Hospital, Aarhus N, Denmark;
Allen JeremiasSt. Francis Hospital & Heart Center, Roslyn, NY, USA;
Valeria ParadiesDepartment of Cardiology, Maasstad Hospital, Rotterdam, the Netherlands;
Zsolt PiróthGottsegen National Cardiovascular Center, Budapest, Hungary;
Luís RaposoUnidade de Intervenção Cardiovascular, Serviço de Cardiologia, Hospital de Santa Cruz, Centro Hospitalar de Lisboa Ocidental, Lisboa, Portugal;
Ariel RoguinHillel Yaffe Medical Center, Hadera, Israel;
Tanja RudolphHeart and Diabetes Center North Rhine-Westphalia, Bad Oeynhausen, Germany;
Giovanna SarnoCardiology, Department of Medical Sciences and Uppsala Clinical Research Center, Uppsala University, Uppsala, Sweden;
Sayan SenImperial College Healthcare NHS Trust, Hammersmith Hospital, London, UK;
Gabor G TothDepartment of Cardiology, Medical University of Graz, Graz, Austria;
Eric Van BelleDepartment of Interventional Cardiology for Coronary, Valves and Structural Heart Diseases, Institut Coeur Poumon, Lille, France;
Frederick M ZimmermannDepartment of Cardiology, Catharina Hospital, Eindhoven, the Netherlands;
Dariusz DudekInterventional Cardiology Unit, Maria Cecilia Hospital, GVM Care & Research, Cotignola, Italy;
Giulio StefaniniDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy;
Giuseppe TarantiniHumanitas Research Hospital IRCCS, Rozzano, Milan, Italy;
Hospital Clínico San Carlos · ESHeart and Diabetes Center North Rhine-Westphalia · DEHumanitas University · ITImperial College Healthcare NHS Trust · GBInstitut Pasteur de Lille · FRJagiellonian University · PLMedical University of Graz · ATRadboud University Nijmegen · NLSamsung Medical Center · KRTechnion – Israel Institute of Technology · ILUniversity of Padua · ITUppsala University · SEVita-Salute San Raffaele University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The clinical value of fractional flow reserve and non-hyperaemic pressure ratios are well established in determining an indication for percutaneous coronary intervention (PCI) in patients with coronary artery disease (CAD). In addition, over the last 5 years we have witnessed a shift towards the use of physiology to enhance procedural planning, assess post-PCI functional results, and guide PCI optimisation. In this regard, clinical studies have reported compelling data supporting the use of longitudinal vessel analysis, obtained with pressure guidewire pullbacks, to better understand how obstructive CAD contributes to myocardial ischaemia, to establish the likelihood of functionally successful PCI, to identify the presence and location of residual flow-limiting stenoses and to predict long-term outcomes. The introduction of new functional coronary angiography tools, which merge angiographic information with fluid dynamic equations to deliver information equivalent to intracoronary pressure measurements, are now available and potentially also applicable to these endeavours. Furthermore, the ability of longitudinal vessel analysis to predict the functional results of stenting has played an integral role in the evolving field of simulated PCI. Nevertheless, it is important to have an awareness of the value and challenges of physiology-guided PCI in specific clinical and anatomical contexts. The main aim of this European Association of Percutaneous Cardiovascular Interventions clinical consensus statement is to offer up-to-date evidence and expert opinion on the use of applied coronary physiology for procedural PCI planning, disease pattern recognition and post-PCI optimisation.

Indexed as

CardiologyCoronary Artery DiseaseFractional Flow Reserve, MyocardialPercutaneous Coronary InterventionCoronary AngiographyHumansTreatment Outcome

Identifiers

PMID37171503
PMCPMC10436072
OpenAlexW4376225633

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.