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ジュウジョウ ケンタロウ
JUJO Kentaro
重城 健太郎 所属 埼玉医科大学 医学部 総合医療センター 心臓内科 職種 教授 |
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| 論文種別 | 学術雑誌(原著) |
| 言語種別 | 英語 |
| 査読の有無 | 査読あり |
| 表題 | Lesion characteristics of coronary arteries associated with a mismatch between angiographic severity of stenosis and fractional flow reserve |
| 掲載誌名 | 正式名：Cardiovascular Intervention and Therapeutics ISSNコード：18684297 |
| 出版社 | Springer Tokyo |
| 巻・号・頁 | 32(2),120-126頁 |
| 著者・共著者 | Hiroyuki Arashi,Junichi Yamaguchi,Mayui Nakazawa,Hisao Otsuki,Shintaro Haruki,Masashi Nakao,Kazuho Kamishima,Kentaro Jujo,Yuichiro Minami,Atsushi Takagi,Hiroshi Ogawa,Nobuhisa Hagiwara |
| 発行年月 | 2017/04 |
| 概要 | 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 lesion |
| DOI | 10.1007/s12928-016-0399-8 |
| PMID | 27236812 |