Evidence map›Paper›PMID 41669474›Full record

ArticleQuantitative imaging in medicine and surgery2026

Prevalence, management, and prognosis of isolated coronary artery fistulas: a 12-year single-center retrospective computed tomographic study.

Peijian Wei, Yihang Li, Xinmu Li, Wenhao Zhu, Liang Xu, Junyi Wan, Fengwen Zhang, Gary Tse, Jeffrey Shi Kai Chan, Shouzheng Wang and 4 more

Abstract read
In one paragraph

Article in Quantitative imaging in medicine and surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Review
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

14 authors.

Peijian Wei *Department of Structural Heart Disease, National Center for Cardiovascular Disease, China & Fuwai Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Yihang Li *Department of Structural Heart Disease, National Center for Cardiovascular Disease, China & Fuwai Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Xinmu Li *Department of Structural Heart Disease, National Center for Cardiovascular Disease, China & Fuwai Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Wenhao Zhu *Department of Structural Heart Disease, National Center for Cardiovascular Disease, China & Fuwai Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Liang XuDepartment of Structural Heart Disease, National Center for Cardiovascular Disease, China & Fuwai Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Junyi WanDepartment of Structural Heart Disease, National Center for Cardiovascular Disease, China & Fuwai Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Fengwen ZhangDepartment of Structural Heart Disease, National Center for Cardiovascular Disease, China & Fuwai Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Gary TseDepartment of Population Health, School of Nursing and Health Sciences, Hong Kong Metropolitan University, Hong Kong, China.
Jeffrey Shi Kai ChanStructural Heart Disease and Heart Failure Research Unit, Cardiovascular Analytics Group, Hong Kong, China.
Shouzheng WangDepartment of Structural Heart Disease, National Center for Cardiovascular Disease, China & Fuwai Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Wenbin OuyangDepartment of Structural Heart Disease, National Center for Cardiovascular Disease, China & Fuwai Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Fang FangDepartment of Structural Heart Disease, National Center for Cardiovascular Disease, China & Fuwai Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Gejun ZhangDepartment of Structural Heart Disease, National Center for Cardiovascular Disease, China & Fuwai Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Xiangbin PanDepartment of Structural Heart Disease, National Center for Cardiovascular Disease, China & Fuwai Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: With the increasing use of coronary computed tomography angiography (CCTA), isolated coronary artery fistulas (ICAFs) are increasingly identified during routine or non-targeted imaging, but the large-scale epidemiological and anatomical data remain limited. This study aims to explore the prevalence, anatomical features, and clinical manifestations of ICAFs in adults who underwent CCTA. Methods: A retrospective analysis was performed on 378,556 consecutive adult patients who underwent CCTA at Fuwai Hospital between 2010 and 2022. Two experienced radiologists independently reviewed CCTA images to confirm the presence of ICAFs and assess their anatomical features, including origin, drainage site, and size. Demographic, clinical, and procedural data were analyzed to evaluate associations with symptoms and treatment strategies. Results: A total of 252 adult patients with ICAFs were identified, yielding a prevalence of 0.07%. The mean age was 48.29±15.03 years, and 47.20% were male. The majority originated from the anterior descending artery (30.56%) and drained into the pulmonary artery (62.3%). The mean diameter of the fistula was 7.30±5.19 mm with 32.54% categorized as with large ICAFs. Symptomatic ICAFs patients were younger than asymptomatic patients (43.81±14.18 Conclusions: The prevalence of ICAFs was 0.07% among adult population who underwent CCTA. Large-sized ICAFs was the anatomical features significantly associated with clinical symptoms.

Indexed as

anatomical characteristicscomputed tomography angiographyIsolated coronary artery fistulas (ICAFs)prevalence

Identifiers

PMID41669474
PMCPMC12883524

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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.