Optical Coherence Tomography-Derived Anatomical Criteria for Functionally Significant Coronary Stenosis Assessed by Fractional Flow Reserve
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- Shiono Yasutsugu
- Department of Cardiovascular Medicine, Wakayama Medical University
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- Kitabata Hironori
- Department of Cardiovascular Medicine, Wakayama Medical University
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- Kubo Takashi
- Department of Cardiovascular Medicine, Wakayama Medical University
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- Masuno Tomizou
- Department of Cardiovascular Medicine, Wakayama Medical University
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- Ohta Shingo
- Department of Cardiovascular Medicine, Wakayama Medical University
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- Ozaki Yuichi
- Department of Cardiovascular Medicine, Wakayama Medical University
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- Sougawa Hiromichi
- Department of Cardiovascular Medicine, Wakayama Medical University
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- Orii Makoto
- Department of Cardiovascular Medicine, Wakayama Medical University
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- Shimamura Kunihiro
- Department of Cardiovascular Medicine, Wakayama Medical University
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- Ishibashi Kohei
- Department of Cardiovascular Medicine, Wakayama Medical University
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- Komukai Kenichi
- Department of Cardiovascular Medicine, Wakayama Medical University
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- Yamano Takashi
- Department of Cardiovascular Medicine, Wakayama Medical University
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- Tanimoto Takashi
- Department of Cardiovascular Medicine, Wakayama Medical University
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- Ino Yasushi
- Department of Cardiovascular Medicine, Wakayama Medical University
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- Yamaguchi Tomoyuki
- Department of Cardiovascular Medicine, Wakayama Medical University
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- Hirata Kumiko
- Department of Cardiovascular Medicine, Wakayama Medical University
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- Mizukoshi Masato
- Department of Cardiovascular Medicine, Wakayama Medical University
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- Imanishi Toshio
- Department of Cardiovascular Medicine, Wakayama Medical University
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- Akasaka Takashi
- Department of Cardiovascular Medicine, Wakayama Medical University
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Background: For the identification of functionally significant coronary artery disease, there have not been any dedicated optical coherence tomography (OCT) studies reported previously, although OCT can clearly detect coronary vessel lumina at higher resolution than intravascular ultrasound (IVUS). Methods and Results: OCT and fractional flow reserve (FFR) measurements were performed in 62 intermediate coronary lesions in 59 patients. FFR was calculated as the ratio of distal coronary pressure divided by proximal coronary pressure during maximal hyperemia. FFR <0.75 was used as the threshold for diagnosing functionally significant stenosis. Minimal lumen area (MLA), minimal lumen diameter (MLD) and percent lumen area stenosis were measured by OCT. FFR values correlated significantly with OCT-derived MLA (r=0.75, P<0.01), MLD (r=0.76, P<0.01) and percent lumen area stenosis (r=−0.77, P<0.01). Receiver-operating characteristic curve suggested an OCT-derived MLA <1.91mm2 (sensitivity 93.5%, specificity 77.4%), MLD <1.35mm (sensitivity 90.3%, specificity 80.6%) and percent lumen area stenosis >70.0% (sensitivity 96.8%, specificity 83.9%) as the best cutoff values for a FFR <0.75. Conclusions: Anatomical measurements of coronary stenosis obtained by OCT show significant correlation with FFR. OCT has the potential to predict functionally significant stenosis, although the present OCT-derived parameters were smaller than those reported in previous IVUS studies. (Circ J 2012; 76: 2218–2225)<br>
収録刊行物
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- Circulation Journal
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Circulation Journal 76 (9), 2218-2225, 2012
一般社団法人 日本循環器学会
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詳細情報 詳細情報について
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- CRID
- 1390001205103440128
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- NII論文ID
- 10030696898
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- NII書誌ID
- AA11591968
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- COI
- 1:STN:280:DC%2BC38jpt1aqtg%3D%3D
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- ISSN
- 13474820
- 13469843
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- PubMed
- 22785153
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- 本文言語コード
- en
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- データソース種別
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- JaLC
- Crossref
- PubMed
- CiNii Articles
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- 使用不可