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| Name | Class |
|---|---|
| Inje University | OTHER |
| Pauls Stradins Clinical University Hospital | OTHER |
| Cornell University | OTHER |
| Ulsan university |
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Angiographically obtained fractional flow reserve(FFR) could provide functional and clinical information about stenotic lesion, but the invasiveness and measuring difficulty of FFR make it unfamiliar to perform. CT coronary angiography is non-invasive tool to evaluate lesion severity and lately developing computational fluid dynamics could provide functional information. The investigators build a patient specific model of computational fluid dynamics by CT coronary angiography and evaluate the functional significance by measuring fractional flow reserve via CT coronary angiography and computational fluid dynamics, and investigate its long-term prognostic implications.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| CT and FFR | No Intervention |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CT coronary angiography and computational fluid dynamics | Device | Evaluate coronary blood flow dynamics by CT coronary angiography and computational fluid dynamics |
|
| Measure | Description | Time Frame |
|---|---|---|
| fractional flow reserve | fractional flow reserve of stenotic coronary artery | 1day |
| target vessel failure | composite of cardiovascular death, target vessel myocardial infarction, target vessel revascularization | 10 year |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Bon-Kwon Koo, MD, PhD | Seoul National University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Seoul National University Hospital | Seoul | 110744 | South Korea |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38378313 | Derived | Yang S, Chung J, Lesina K, Doh JH, Jegere S, Erglis A, Leipsic JA, Fearon WF, Narula J, Koo BK. Long-term prognostic implications of CT angiography-derived fractional flow reserve: Results from the DISCOVER-FLOW study. J Cardiovasc Comput Tomogr. 2024 May-Jun;18(3):251-258. doi: 10.1016/j.jcct.2024.01.016. Epub 2024 Feb 19. | |
| 36872186 |
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| ID | Term |
|---|---|
| D003324 | Coronary Artery Disease |
| ID | Term |
|---|---|
| D003327 | Coronary Disease |
| D017202 | Myocardial Ischemia |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
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| UNKNOWN |
| Indiana University | OTHER |
| Stanford University | OTHER |
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With masking value of FFR derived from coronary CT angiography to the investigators, FFR is measured and patients have been followed-up.
| Yang S, Lesina K, Doh JH, Jegere S, Erglis A, Leipsic JA, Chun EJ, Choi G, Schaap M, Zarins C, Taylor CA, Fearon WF, Narula J, Koo BK. Long-term prognostic implications of hemodynamic and plaque assessment using coronary CT angiography. Atherosclerosis. 2023 May;373:58-65. doi: 10.1016/j.atherosclerosis.2023.02.005. Epub 2023 Feb 27. |
| 22032711 | Derived | Koo BK, Erglis A, Doh JH, Daniels DV, Jegere S, Kim HS, Dunning A, DeFrance T, Lansky A, Leipsic J, Min JK. Diagnosis of ischemia-causing coronary stenoses by noninvasive fractional flow reserve computed from coronary computed tomographic angiograms. Results from the prospective multicenter DISCOVER-FLOW (Diagnosis of Ischemia-Causing Stenoses Obtained Via Noninvasive Fractional Flow Reserve) study. J Am Coll Cardiol. 2011 Nov 1;58(19):1989-97. doi: 10.1016/j.jacc.2011.06.066. |
| D001161 |
| Arteriosclerosis |
| D001157 | Arterial Occlusive Diseases |
| D014652 | Vascular Diseases |