Feasibility of Quantitative Flow Ratio in Adult Patients With Anomalous Aortic Origin of the Coronary Artery With 5 Years of Clinical Follow-up.

Détails

ID Serval
serval:BIB_54E20F5709B4
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Feasibility of Quantitative Flow Ratio in Adult Patients With Anomalous Aortic Origin of the Coronary Artery With 5 Years of Clinical Follow-up.
Périodique
The Journal of invasive cardiology
Auteur⸱e⸱s
Adjedj J., Hyafil F., Aminfar F., Halna du Fretay X., Picard F., Dupouy P., Juliard J.M., Muller O., Wijns W., Aubry P.
Collaborateur⸱rice⸱s
ANOCOR Investigators
ISSN
1557-2501 (Electronic)
ISSN-L
1042-3931
Statut éditorial
Publié
Date de publication
04/2021
Peer-reviewed
Oui
Volume
33
Numéro
4
Pages
E269-E274
Langue
anglais
Notes
Publication types: Case Reports ; Multicenter Study
Publication Status: ppublish
Résumé
Anomalous origin of the right coronary artery (ARCA) represents the most common form of abnormal coronary origin and may potentially increase the risk for sudden cardiac death. Morphological and functional evaluation of ARCA in adult patients referred for invasive coronary angiogram (ICA) is challenging. Quantitative flow ratio (QFR) is an available method able to virtually calculate fractional flow reserve using 3-dimensional quantitative coronary angiography (3D-QCA) based on ICA. We aimed to evaluate the feasibility of QFR analysis in patients with ARCA and its clinical impact.
Using the registry of proximal anomalous connections of coronary arteries (ANOCOR registry), a multicenter observational registry including 472 adult patients with ANOCOR between 2010 and 2013, we retrospectively performed QFR analysis from ICA and evaluated the rate of death, myocardial infarction, and unplanned revascularization at 5 years.
Among 128 patients with ARCA, 41 (32%) could have QFR analysis with median clinical follow-up of 8.3 years. The mean QFR value was 0.90 ± 0.10, and 3D-QCA analysis showed preserved lumen area despite the elliptical shape of the proximal part of the ARCA, which in the worst cases appeared on ICA as a significant narrowing. The event rate was 12.2% (n = 5), including 3 deaths (1 due to cancer, 1 due to stroke, and 1 cause unknown) and 2 unplanned revascularizations at 5 years. No myocardial infarctions were reported.
When QFR analysis of ARCA is feasible, non-significant QFR values are associated with good clinical outcome at 5 years.
Mots-clé
Adult, Coronary Stenosis, Coronary Vessels/diagnostic imaging, Coronary Vessels/surgery, Feasibility Studies, Follow-Up Studies, Fractional Flow Reserve, Myocardial, Humans, Imaging, Three-Dimensional, Retrospective Studies, anomalous coronary artery, cardiac imaging, fractional flow reserve
Pubmed
Web of science
Création de la notice
30/04/2021 17:06
Dernière modification de la notice
13/01/2024 7:11
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