Lesion characteristics of coronary arteries associated with a mismatch between angiographic severity of stenosis and fractional flow reserve

Abstract We aimed to clarify the relationships between angiographic lesion characteristics and values of fractional flow reserve (FFR) on intermediate coronary artery stenosis. The clinical meaning and assessment for “visual-functional mismatches,” including regular-mismatches [defined as angiograph...
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Autor*in:	Arashi, Hiroyuki [verfasserIn] Yamaguchi, Junichi Nakazawa, Mayui Otsuki, Hisao Haruki, Shintaro Nakao, Masashi Kamishima, Kazuho Jujo, Kentaro Minami, Yuichiro Takagi, Atsushi Ogawa, Hiroshi Hagiwara, Nobuhisa

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2016

Schlagwörter:	Fractional flow reserve Lesion characteristic Percutaneous coronary intervention Visual-functional mismatch

Anmerkung:	© Japanese Association of Cardiovascular Intervention and Therapeutics 2016

Übergeordnetes Werk:	Enthalten in: Cardiovascular intervention and therapeutics - Tokyo : Springer Japan, 2010, 32(2016), 2 vom: 28. Mai, Seite 120-126
Übergeordnetes Werk:	volume:32 ; year:2016 ; number:2 ; day:28 ; month:05 ; pages:120-126

Links:	Volltext

DOI / URN:	10.1007/s12928-016-0399-8

Katalog-ID:	SPR028483448

Internformat


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245	1	0	\|a Lesion characteristics of coronary arteries associated with a mismatch between angiographic severity of stenosis and fractional flow reserve
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520			\|a Abstract We aimed to clarify the relationships between angiographic lesion characteristics and values of fractional flow reserve (FFR) on intermediate coronary artery stenosis. The clinical meaning and assessment for “visual-functional mismatches,” including regular-mismatches [defined as angiographic percent diameter stenosis (%DS) ≥50 % and FFR >0.80] and reverse-mismatches (defined as angiographic %DS <50 %, FFR ≤0.80) remains unresolved in contemporary practice. We retrospectively enrolled 140 consecutive patients who underwent coronary angiography and FFR measurement. One hundred fifty-seven cases of intermediate coronary artery stenosis were evaluated. The relationship between clinical/lesion characteristics and regular- or reverse-mismatches were examined. Lesions in the left anterior descending artery (LAD) showed significantly lower frequency of regular-mismatch than did non-LAD lesions (26.7 vs. 73.3 %, respectively; p < 0.001). Conversely, almost all reverse-mismatches were observed in LAD lesions (93.8 %). The best cut-off value of %DS, derived from receiver operating characteristic (ROC) curve analysis, to predict FFR ≤0.8 was 45.0 % in LAD lesions and 67.5 % in non-LAD lesions. FFR measurement should be considered in LAD intermediate lesions to avoid residual functional ischemia and in non-LAD lesions to avoid unnecessary coronary intervention.
650		4	\|a Fractional flow reserve \|7 (dpeaa)DE-He213
650		4	\|a Lesion characteristic \|7 (dpeaa)DE-He213
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650		4	\|a Visual-functional mismatch \|7 (dpeaa)DE-He213
700	1		\|a Yamaguchi, Junichi \|4 aut
700	1		\|a Nakazawa, Mayui \|4 aut
700	1		\|a Otsuki, Hisao \|4 aut
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700	1		\|a Nakao, Masashi \|4 aut
700	1		\|a Kamishima, Kazuho \|4 aut
700	1		\|a Jujo, Kentaro \|4 aut
700	1		\|a Minami, Yuichiro \|4 aut
700	1		\|a Takagi, Atsushi \|4 aut
700	1		\|a Ogawa, Hiroshi \|4 aut
700	1		\|a Hagiwara, Nobuhisa \|4 aut
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912			\|a GBV_ILN_151
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912			\|a GBV_ILN_230
912			\|a GBV_ILN_250
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912			\|a GBV_ILN_285
912			\|a GBV_ILN_293
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912			\|a GBV_ILN_2068
912			\|a GBV_ILN_2070
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author_variant	h a ha j y jy m n mn h o ho s h sh m n mn k k kk k j kj y m ym a t at h o ho n h nh
matchkey_str	article:18684297:2016----::einhrceitcocrnratreascaewtaimtheweagorpisvrto
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publishDate	2016
allfields	10.1007/s12928-016-0399-8 doi (DE-627)SPR028483448 (SPR)s12928-016-0399-8-e DE-627 ger DE-627 rakwb eng Arashi, Hiroyuki verfasserin aut Lesion characteristics of coronary arteries associated with a mismatch between angiographic severity of stenosis and fractional flow reserve 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Japanese Association of Cardiovascular Intervention and Therapeutics 2016 Abstract We aimed to clarify the relationships between angiographic lesion characteristics and values of fractional flow reserve (FFR) on intermediate coronary artery stenosis. The clinical meaning and assessment for “visual-functional mismatches,” including regular-mismatches [defined as angiographic percent diameter stenosis (%DS) ≥50 % and FFR >0.80] and reverse-mismatches (defined as angiographic %DS <50 %, FFR ≤0.80) remains unresolved in contemporary practice. We retrospectively enrolled 140 consecutive patients who underwent coronary angiography and FFR measurement. One hundred fifty-seven cases of intermediate coronary artery stenosis were evaluated. The relationship between clinical/lesion characteristics and regular- or reverse-mismatches were examined. Lesions in the left anterior descending artery (LAD) showed significantly lower frequency of regular-mismatch than did non-LAD lesions (26.7 vs. 73.3 %, respectively; p < 0.001). Conversely, almost all reverse-mismatches were observed in LAD lesions (93.8 %). The best cut-off value of %DS, derived from receiver operating characteristic (ROC) curve analysis, to predict FFR ≤0.8 was 45.0 % in LAD lesions and 67.5 % in non-LAD lesions. FFR measurement should be considered in LAD intermediate lesions to avoid residual functional ischemia and in non-LAD lesions to avoid unnecessary coronary intervention. Fractional flow reserve (dpeaa)DE-He213 Lesion characteristic (dpeaa)DE-He213 Percutaneous coronary intervention (dpeaa)DE-He213 Visual-functional mismatch (dpeaa)DE-He213 Yamaguchi, Junichi aut Nakazawa, Mayui aut Otsuki, Hisao aut Haruki, Shintaro aut Nakao, Masashi aut Kamishima, Kazuho aut Jujo, Kentaro aut Minami, Yuichiro aut Takagi, Atsushi aut Ogawa, Hiroshi aut Hagiwara, Nobuhisa aut Enthalten in Cardiovascular intervention and therapeutics Tokyo : Springer Japan, 2010 32(2016), 2 vom: 28. Mai, Seite 120-126 (DE-627)614093368 (DE-600)2526607-X 1868-4297 nnns volume:32 year:2016 number:2 day:28 month:05 pages:120-126 https://dx.doi.org/10.1007/s12928-016-0399-8 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 32 2016 2 28 05 120-126
spelling	10.1007/s12928-016-0399-8 doi (DE-627)SPR028483448 (SPR)s12928-016-0399-8-e DE-627 ger DE-627 rakwb eng Arashi, Hiroyuki verfasserin aut Lesion characteristics of coronary arteries associated with a mismatch between angiographic severity of stenosis and fractional flow reserve 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Japanese Association of Cardiovascular Intervention and Therapeutics 2016 Abstract We aimed to clarify the relationships between angiographic lesion characteristics and values of fractional flow reserve (FFR) on intermediate coronary artery stenosis. The clinical meaning and assessment for “visual-functional mismatches,” including regular-mismatches [defined as angiographic percent diameter stenosis (%DS) ≥50 % and FFR >0.80] and reverse-mismatches (defined as angiographic %DS <50 %, FFR ≤0.80) remains unresolved in contemporary practice. We retrospectively enrolled 140 consecutive patients who underwent coronary angiography and FFR measurement. One hundred fifty-seven cases of intermediate coronary artery stenosis were evaluated. The relationship between clinical/lesion characteristics and regular- or reverse-mismatches were examined. Lesions in the left anterior descending artery (LAD) showed significantly lower frequency of regular-mismatch than did non-LAD lesions (26.7 vs. 73.3 %, respectively; p < 0.001). Conversely, almost all reverse-mismatches were observed in LAD lesions (93.8 %). The best cut-off value of %DS, derived from receiver operating characteristic (ROC) curve analysis, to predict FFR ≤0.8 was 45.0 % in LAD lesions and 67.5 % in non-LAD lesions. FFR measurement should be considered in LAD intermediate lesions to avoid residual functional ischemia and in non-LAD lesions to avoid unnecessary coronary intervention. Fractional flow reserve (dpeaa)DE-He213 Lesion characteristic (dpeaa)DE-He213 Percutaneous coronary intervention (dpeaa)DE-He213 Visual-functional mismatch (dpeaa)DE-He213 Yamaguchi, Junichi aut Nakazawa, Mayui aut Otsuki, Hisao aut Haruki, Shintaro aut Nakao, Masashi aut Kamishima, Kazuho aut Jujo, Kentaro aut Minami, Yuichiro aut Takagi, Atsushi aut Ogawa, Hiroshi aut Hagiwara, Nobuhisa aut Enthalten in Cardiovascular intervention and therapeutics Tokyo : Springer Japan, 2010 32(2016), 2 vom: 28. Mai, Seite 120-126 (DE-627)614093368 (DE-600)2526607-X 1868-4297 nnns volume:32 year:2016 number:2 day:28 month:05 pages:120-126 https://dx.doi.org/10.1007/s12928-016-0399-8 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 32 2016 2 28 05 120-126
allfields_unstemmed	10.1007/s12928-016-0399-8 doi (DE-627)SPR028483448 (SPR)s12928-016-0399-8-e DE-627 ger DE-627 rakwb eng Arashi, Hiroyuki verfasserin aut Lesion characteristics of coronary arteries associated with a mismatch between angiographic severity of stenosis and fractional flow reserve 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Japanese Association of Cardiovascular Intervention and Therapeutics 2016 Abstract We aimed to clarify the relationships between angiographic lesion characteristics and values of fractional flow reserve (FFR) on intermediate coronary artery stenosis. The clinical meaning and assessment for “visual-functional mismatches,” including regular-mismatches [defined as angiographic percent diameter stenosis (%DS) ≥50 % and FFR >0.80] and reverse-mismatches (defined as angiographic %DS <50 %, FFR ≤0.80) remains unresolved in contemporary practice. We retrospectively enrolled 140 consecutive patients who underwent coronary angiography and FFR measurement. One hundred fifty-seven cases of intermediate coronary artery stenosis were evaluated. The relationship between clinical/lesion characteristics and regular- or reverse-mismatches were examined. Lesions in the left anterior descending artery (LAD) showed significantly lower frequency of regular-mismatch than did non-LAD lesions (26.7 vs. 73.3 %, respectively; p < 0.001). Conversely, almost all reverse-mismatches were observed in LAD lesions (93.8 %). The best cut-off value of %DS, derived from receiver operating characteristic (ROC) curve analysis, to predict FFR ≤0.8 was 45.0 % in LAD lesions and 67.5 % in non-LAD lesions. FFR measurement should be considered in LAD intermediate lesions to avoid residual functional ischemia and in non-LAD lesions to avoid unnecessary coronary intervention. Fractional flow reserve (dpeaa)DE-He213 Lesion characteristic (dpeaa)DE-He213 Percutaneous coronary intervention (dpeaa)DE-He213 Visual-functional mismatch (dpeaa)DE-He213 Yamaguchi, Junichi aut Nakazawa, Mayui aut Otsuki, Hisao aut Haruki, Shintaro aut Nakao, Masashi aut Kamishima, Kazuho aut Jujo, Kentaro aut Minami, Yuichiro aut Takagi, Atsushi aut Ogawa, Hiroshi aut Hagiwara, Nobuhisa aut Enthalten in Cardiovascular intervention and therapeutics Tokyo : Springer Japan, 2010 32(2016), 2 vom: 28. Mai, Seite 120-126 (DE-627)614093368 (DE-600)2526607-X 1868-4297 nnns volume:32 year:2016 number:2 day:28 month:05 pages:120-126 https://dx.doi.org/10.1007/s12928-016-0399-8 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 32 2016 2 28 05 120-126
allfieldsGer	10.1007/s12928-016-0399-8 doi (DE-627)SPR028483448 (SPR)s12928-016-0399-8-e DE-627 ger DE-627 rakwb eng Arashi, Hiroyuki verfasserin aut Lesion characteristics of coronary arteries associated with a mismatch between angiographic severity of stenosis and fractional flow reserve 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Japanese Association of Cardiovascular Intervention and Therapeutics 2016 Abstract We aimed to clarify the relationships between angiographic lesion characteristics and values of fractional flow reserve (FFR) on intermediate coronary artery stenosis. The clinical meaning and assessment for “visual-functional mismatches,” including regular-mismatches [defined as angiographic percent diameter stenosis (%DS) ≥50 % and FFR >0.80] and reverse-mismatches (defined as angiographic %DS <50 %, FFR ≤0.80) remains unresolved in contemporary practice. We retrospectively enrolled 140 consecutive patients who underwent coronary angiography and FFR measurement. One hundred fifty-seven cases of intermediate coronary artery stenosis were evaluated. The relationship between clinical/lesion characteristics and regular- or reverse-mismatches were examined. Lesions in the left anterior descending artery (LAD) showed significantly lower frequency of regular-mismatch than did non-LAD lesions (26.7 vs. 73.3 %, respectively; p < 0.001). Conversely, almost all reverse-mismatches were observed in LAD lesions (93.8 %). The best cut-off value of %DS, derived from receiver operating characteristic (ROC) curve analysis, to predict FFR ≤0.8 was 45.0 % in LAD lesions and 67.5 % in non-LAD lesions. FFR measurement should be considered in LAD intermediate lesions to avoid residual functional ischemia and in non-LAD lesions to avoid unnecessary coronary intervention. Fractional flow reserve (dpeaa)DE-He213 Lesion characteristic (dpeaa)DE-He213 Percutaneous coronary intervention (dpeaa)DE-He213 Visual-functional mismatch (dpeaa)DE-He213 Yamaguchi, Junichi aut Nakazawa, Mayui aut Otsuki, Hisao aut Haruki, Shintaro aut Nakao, Masashi aut Kamishima, Kazuho aut Jujo, Kentaro aut Minami, Yuichiro aut Takagi, Atsushi aut Ogawa, Hiroshi aut Hagiwara, Nobuhisa aut Enthalten in Cardiovascular intervention and therapeutics Tokyo : Springer Japan, 2010 32(2016), 2 vom: 28. Mai, Seite 120-126 (DE-627)614093368 (DE-600)2526607-X 1868-4297 nnns volume:32 year:2016 number:2 day:28 month:05 pages:120-126 https://dx.doi.org/10.1007/s12928-016-0399-8 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 32 2016 2 28 05 120-126
allfieldsSound	10.1007/s12928-016-0399-8 doi (DE-627)SPR028483448 (SPR)s12928-016-0399-8-e DE-627 ger DE-627 rakwb eng Arashi, Hiroyuki verfasserin aut Lesion characteristics of coronary arteries associated with a mismatch between angiographic severity of stenosis and fractional flow reserve 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Japanese Association of Cardiovascular Intervention and Therapeutics 2016 Abstract We aimed to clarify the relationships between angiographic lesion characteristics and values of fractional flow reserve (FFR) on intermediate coronary artery stenosis. The clinical meaning and assessment for “visual-functional mismatches,” including regular-mismatches [defined as angiographic percent diameter stenosis (%DS) ≥50 % and FFR >0.80] and reverse-mismatches (defined as angiographic %DS <50 %, FFR ≤0.80) remains unresolved in contemporary practice. We retrospectively enrolled 140 consecutive patients who underwent coronary angiography and FFR measurement. One hundred fifty-seven cases of intermediate coronary artery stenosis were evaluated. The relationship between clinical/lesion characteristics and regular- or reverse-mismatches were examined. Lesions in the left anterior descending artery (LAD) showed significantly lower frequency of regular-mismatch than did non-LAD lesions (26.7 vs. 73.3 %, respectively; p < 0.001). Conversely, almost all reverse-mismatches were observed in LAD lesions (93.8 %). The best cut-off value of %DS, derived from receiver operating characteristic (ROC) curve analysis, to predict FFR ≤0.8 was 45.0 % in LAD lesions and 67.5 % in non-LAD lesions. FFR measurement should be considered in LAD intermediate lesions to avoid residual functional ischemia and in non-LAD lesions to avoid unnecessary coronary intervention. Fractional flow reserve (dpeaa)DE-He213 Lesion characteristic (dpeaa)DE-He213 Percutaneous coronary intervention (dpeaa)DE-He213 Visual-functional mismatch (dpeaa)DE-He213 Yamaguchi, Junichi aut Nakazawa, Mayui aut Otsuki, Hisao aut Haruki, Shintaro aut Nakao, Masashi aut Kamishima, Kazuho aut Jujo, Kentaro aut Minami, Yuichiro aut Takagi, Atsushi aut Ogawa, Hiroshi aut Hagiwara, Nobuhisa aut Enthalten in Cardiovascular intervention and therapeutics Tokyo : Springer Japan, 2010 32(2016), 2 vom: 28. Mai, Seite 120-126 (DE-627)614093368 (DE-600)2526607-X 1868-4297 nnns volume:32 year:2016 number:2 day:28 month:05 pages:120-126 https://dx.doi.org/10.1007/s12928-016-0399-8 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 32 2016 2 28 05 120-126
language	English
source	Enthalten in Cardiovascular intervention and therapeutics 32(2016), 2 vom: 28. Mai, Seite 120-126 volume:32 year:2016 number:2 day:28 month:05 pages:120-126
sourceStr	Enthalten in Cardiovascular intervention and therapeutics 32(2016), 2 vom: 28. Mai, Seite 120-126 volume:32 year:2016 number:2 day:28 month:05 pages:120-126
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Fractional flow reserve Lesion characteristic Percutaneous coronary intervention Visual-functional mismatch
isfreeaccess_bool	false
container_title	Cardiovascular intervention and therapeutics
authorswithroles_txt_mv	Arashi, Hiroyuki @@aut@@ Yamaguchi, Junichi @@aut@@ Nakazawa, Mayui @@aut@@ Otsuki, Hisao @@aut@@ Haruki, Shintaro @@aut@@ Nakao, Masashi @@aut@@ Kamishima, Kazuho @@aut@@ Jujo, Kentaro @@aut@@ Minami, Yuichiro @@aut@@ Takagi, Atsushi @@aut@@ Ogawa, Hiroshi @@aut@@ Hagiwara, Nobuhisa @@aut@@
publishDateDaySort_date	2016-05-28T00:00:00Z
hierarchy_top_id	614093368
id	SPR028483448
language_de	englisch
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author	Arashi, Hiroyuki
spellingShingle	Arashi, Hiroyuki misc Fractional flow reserve misc Lesion characteristic misc Percutaneous coronary intervention misc Visual-functional mismatch Lesion characteristics of coronary arteries associated with a mismatch between angiographic severity of stenosis and fractional flow reserve
authorStr	Arashi, Hiroyuki
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topic_title	Lesion characteristics of coronary arteries associated with a mismatch between angiographic severity of stenosis and fractional flow reserve Fractional flow reserve (dpeaa)DE-He213 Lesion characteristic (dpeaa)DE-He213 Percutaneous coronary intervention (dpeaa)DE-He213 Visual-functional mismatch (dpeaa)DE-He213
topic	misc Fractional flow reserve misc Lesion characteristic misc Percutaneous coronary intervention misc Visual-functional mismatch
topic_unstemmed	misc Fractional flow reserve misc Lesion characteristic misc Percutaneous coronary intervention misc Visual-functional mismatch
topic_browse	misc Fractional flow reserve misc Lesion characteristic misc Percutaneous coronary intervention misc Visual-functional mismatch
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title	Lesion characteristics of coronary arteries associated with a mismatch between angiographic severity of stenosis and fractional flow reserve
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title_full	Lesion characteristics of coronary arteries associated with a mismatch between angiographic severity of stenosis and fractional flow reserve
author_sort	Arashi, Hiroyuki
journal	Cardiovascular intervention and therapeutics
journalStr	Cardiovascular intervention and therapeutics
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author_browse	Arashi, Hiroyuki Yamaguchi, Junichi Nakazawa, Mayui Otsuki, Hisao Haruki, Shintaro Nakao, Masashi Kamishima, Kazuho Jujo, Kentaro Minami, Yuichiro Takagi, Atsushi Ogawa, Hiroshi Hagiwara, Nobuhisa
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author-letter	Arashi, Hiroyuki
doi_str_mv	10.1007/s12928-016-0399-8
title_sort	lesion characteristics of coronary arteries associated with a mismatch between angiographic severity of stenosis and fractional flow reserve
title_auth	Lesion characteristics of coronary arteries associated with a mismatch between angiographic severity of stenosis and fractional flow reserve
abstract	Abstract We aimed to clarify the relationships between angiographic lesion characteristics and values of fractional flow reserve (FFR) on intermediate coronary artery stenosis. The clinical meaning and assessment for “visual-functional mismatches,” including regular-mismatches [defined as angiographic percent diameter stenosis (%DS) ≥50 % and FFR >0.80] and reverse-mismatches (defined as angiographic %DS <50 %, FFR ≤0.80) remains unresolved in contemporary practice. We retrospectively enrolled 140 consecutive patients who underwent coronary angiography and FFR measurement. One hundred fifty-seven cases of intermediate coronary artery stenosis were evaluated. The relationship between clinical/lesion characteristics and regular- or reverse-mismatches were examined. Lesions in the left anterior descending artery (LAD) showed significantly lower frequency of regular-mismatch than did non-LAD lesions (26.7 vs. 73.3 %, respectively; p < 0.001). Conversely, almost all reverse-mismatches were observed in LAD lesions (93.8 %). The best cut-off value of %DS, derived from receiver operating characteristic (ROC) curve analysis, to predict FFR ≤0.8 was 45.0 % in LAD lesions and 67.5 % in non-LAD lesions. FFR measurement should be considered in LAD intermediate lesions to avoid residual functional ischemia and in non-LAD lesions to avoid unnecessary coronary intervention. © Japanese Association of Cardiovascular Intervention and Therapeutics 2016
abstractGer	Abstract We aimed to clarify the relationships between angiographic lesion characteristics and values of fractional flow reserve (FFR) on intermediate coronary artery stenosis. The clinical meaning and assessment for “visual-functional mismatches,” including regular-mismatches [defined as angiographic percent diameter stenosis (%DS) ≥50 % and FFR >0.80] and reverse-mismatches (defined as angiographic %DS <50 %, FFR ≤0.80) remains unresolved in contemporary practice. We retrospectively enrolled 140 consecutive patients who underwent coronary angiography and FFR measurement. One hundred fifty-seven cases of intermediate coronary artery stenosis were evaluated. The relationship between clinical/lesion characteristics and regular- or reverse-mismatches were examined. Lesions in the left anterior descending artery (LAD) showed significantly lower frequency of regular-mismatch than did non-LAD lesions (26.7 vs. 73.3 %, respectively; p < 0.001). Conversely, almost all reverse-mismatches were observed in LAD lesions (93.8 %). The best cut-off value of %DS, derived from receiver operating characteristic (ROC) curve analysis, to predict FFR ≤0.8 was 45.0 % in LAD lesions and 67.5 % in non-LAD lesions. FFR measurement should be considered in LAD intermediate lesions to avoid residual functional ischemia and in non-LAD lesions to avoid unnecessary coronary intervention. © Japanese Association of Cardiovascular Intervention and Therapeutics 2016
abstract_unstemmed	Abstract We aimed to clarify the relationships between angiographic lesion characteristics and values of fractional flow reserve (FFR) on intermediate coronary artery stenosis. The clinical meaning and assessment for “visual-functional mismatches,” including regular-mismatches [defined as angiographic percent diameter stenosis (%DS) ≥50 % and FFR >0.80] and reverse-mismatches (defined as angiographic %DS <50 %, FFR ≤0.80) remains unresolved in contemporary practice. We retrospectively enrolled 140 consecutive patients who underwent coronary angiography and FFR measurement. One hundred fifty-seven cases of intermediate coronary artery stenosis were evaluated. The relationship between clinical/lesion characteristics and regular- or reverse-mismatches were examined. Lesions in the left anterior descending artery (LAD) showed significantly lower frequency of regular-mismatch than did non-LAD lesions (26.7 vs. 73.3 %, respectively; p < 0.001). Conversely, almost all reverse-mismatches were observed in LAD lesions (93.8 %). The best cut-off value of %DS, derived from receiver operating characteristic (ROC) curve analysis, to predict FFR ≤0.8 was 45.0 % in LAD lesions and 67.5 % in non-LAD lesions. FFR measurement should be considered in LAD intermediate lesions to avoid residual functional ischemia and in non-LAD lesions to avoid unnecessary coronary intervention. © Japanese Association of Cardiovascular Intervention and Therapeutics 2016
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title_short	Lesion characteristics of coronary arteries associated with a mismatch between angiographic severity of stenosis and fractional flow reserve
url	https://dx.doi.org/10.1007/s12928-016-0399-8
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author2	Yamaguchi, Junichi Nakazawa, Mayui Otsuki, Hisao Haruki, Shintaro Nakao, Masashi Kamishima, Kazuho Jujo, Kentaro Minami, Yuichiro Takagi, Atsushi Ogawa, Hiroshi Hagiwara, Nobuhisa
author2Str	Yamaguchi, Junichi Nakazawa, Mayui Otsuki, Hisao Haruki, Shintaro Nakao, Masashi Kamishima, Kazuho Jujo, Kentaro Minami, Yuichiro Takagi, Atsushi Ogawa, Hiroshi Hagiwara, Nobuhisa
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doi_str	10.1007/s12928-016-0399-8
up_date	2024-07-03T19:42:59.167Z
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Lesion characteristics of coronary arteries associated with a mismatch between angiographic severity of stenosis and fractional flow reserve

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