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TCT-705: Intravascular Ultrasound Characteristics in Patients with Intermediate Coronary Lesions and Borderline Fractional Flow Reserve Measurements
| Content Provider | Semantic Scholar |
|---|---|
| Author | Novara, Marco Bollati, Mario Ascenzo, Fabrizio D’ Gonella, Anna Giuseppe Biondi-Zoccai Moretti, Claudio Omedé, Pierluigi Sciuto, Filippo Fiorenzo Gaita Sheiban, Imad |
| Copyright Year | 2016 |
| Abstract | branches with >50% stenosis, 19 (28.4%) had FFR≤0.80 and among 163 side branches with ≤50% stenosis, 22 (13.5%) had FFR≤0.80 after stent implantation in main vessels. Using receiver-operating characteristic curve, the optimal cutoff value of diameter stenosis of side branch was 54.9% and area under the curve was 0.64 (95% CI 0.580.71, p<0.001) with a 41.5% sensitivity, an 83.1% specificity, a 34.7% positive predictive value, an 86.3% negative predictive value and a 75.7% accuracy. Multivariate binary logistic regression analysis identified diameter stenosis (odds ratio [OR] 1.04, 95% CI 1.02-1.06, p=0.001) and reference vessel diameter (OR 0.28, 95% CI 0.10-0.77, p=0.014) of side branch before stent implantation as independent predictors of the side branches with FFR ≤0.80 after stent implantation. Conclusion: Most side branch lesions do not have functional significance after stent implantation in the main vessel and quantitative coronary angiography is unreliable in assessing the functional severity of these lesions. |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | https://core.ac.uk/download/pdf/82823910.pdf |
| Language | English |
| Access Restriction | Open |
| Subject Keyword | Area Under Curve Blood Vessel Tissue Diameter (qualifier value) Disseminated Intravascular Coagulation Fractional Flow Reserve of Vessel Ion implantation Logistic regression Negative Predictive Value of Diagnostic Test Positive Predictive Value of Diagnostic Test Quantitative Coronary Angiography Sensitivity and specificity Stenosis Stent Device Component Stent, device angiogram percent positive cells |
| Content Type | Text |
| Resource Type | Article |