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The coronary images of selective angiography and optical coherence tomography with FFR(Fractional Flow Reserve) values of the intermediate lesions (40-70% stenosis) will be prospectively registered.
The patients with intermediate lesions after CT angiography and invasive coronary angiography will be screened, and optical coherence tomography, FFR and selective CT angiography will be performed. The coronary images and FFR values will be registered, and the patients will be followed-up up to 2 years to investigate the adverse clinical events.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Imaging Registry | Imaging cohort: Patients with intermediate lesions |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| OCT (Optical Coherence Tomography) | Other | Coronary images by OCT and selective CTA and FFR values will be registered. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change of plaque on coronary CTA for during 2 years | at registration | |
| Change of plaque on coronary CTA for during 2 years | at 2-year follow up | |
| Change of plaque on coronary OCT for during 2 years | at registration | |
| Change of plaque on coronary OCT for during 2 years | at 2-year follow up | |
| Change of FFR value during 2 years | at registration | |
| Change of FFR value during 2 years | at 2-year follow up | |
| Comparison of computational FFR derived from OCT to invasive FFR | at registration | |
| Comparison of computational FFR derived from OCT to invasive FFR | at 2-year follow up |
| Measure | Description | Time Frame |
|---|---|---|
| Adverse event for 2 years (myocardial infarction, cardiovascular death) | within 2 years after registration | |
| Power of plaque characteristics on coronary CTA for predicting adverse events | within 2 years after registration |
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Inclusion Criteria:
Exclusion Criteria:
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Tertiary cardiovascular hospital
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| Name | Affiliation | Role |
|---|---|---|
| Jung-Sun Kim, PhD | Severance Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Division of Cardiology, Cardiovascular Hospital, Yonsei University | Seoul | 03722 | South Korea |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38663808 | Derived | Lee YJ, Park G, Lee SG, Cho YK, Yoon HJ, Kim U, Jang JY, Oh SJ, Lee SJ, Hong SJ, Ahn CM, Kim BK, Chang HJ, Ko YG, Choi D, Hong MK, Jang Y, Kim JS. Predictive value of plaque characteristics for identification of lesions causing ischemia. Int J Cardiol. 2024 Jul 1;406:132097. doi: 10.1016/j.ijcard.2024.132097. Epub 2024 Apr 23. | |
| 35770218 |
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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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| ID | Term |
|---|---|
| D041623 | Tomography, Optical Coherence |
| ID | Term |
|---|---|
| D041622 | Tomography, Optical |
| D061848 | Optical Imaging |
| D003952 | Diagnostic Imaging |
| D019937 | Diagnostic Techniques and Procedures |
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| Coronary CTA | Other | Coronary images by OCT and Coronary CTA and FFR values will be registered. |
|
| FFR | Other | Coronary images by OCT and selective CTA and FFR values will be registered. |
|
| Power of plaque characteristics on OCT for predicting adverse events | within 2 years after registration |
| Lee YJ, Kim YW, Ha J, Kim M, Guagliumi G, Granada JF, Lee SG, Lee JJ, Cho YK, Yoon HJ, Lee JH, Kim U, Jang JY, Oh SJ, Lee SJ, Hong SJ, Ahn CM, Kim BK, Chang HJ, Ko YG, Choi D, Hong MK, Jang Y, Lee JS, Kim JS. Computational Fractional Flow Reserve From Coronary Computed Tomography Angiography-Optical Coherence Tomography Fusion Images in Assessing Functionally Significant Coronary Stenosis. Front Cardiovasc Med. 2022 Jun 13;9:925414. doi: 10.3389/fcvm.2022.925414. eCollection 2022. |
| D001161 |
| Arteriosclerosis |
| D001157 | Arterial Occlusive Diseases |
| D014652 | Vascular Diseases |
| D003933 | Diagnosis |
| D014054 | Tomography |
| D008919 | Investigative Techniques |