Fractional Flow Reserve Versus Instantaneous Wave-Free Ratio in Assessment of Lesion Hemodynamic Significance and Explanation of their Discrepancies. International, Multicenter and Prospective Trial: The FiGARO Study.


Journal

Journal of the American Heart Association
ISSN: 2047-9980
Titre abrégé: J Am Heart Assoc
Pays: England
ID NLM: 101580524

Informations de publication

Date de publication:
03 05 2022
Historique:
entrez: 3 5 2022
pubmed: 4 5 2022
medline: 6 5 2022
Statut: ppublish

Résumé

Background The FiGARO (FFR versus iFR in Assessment of Hemodynamic Lesion Significance, and an Explanation of Their Discrepancies) trial is a prospective registry searching for predictors of fractional flow reserve/instantaneous wave-free ratio (FFR/iFR) discrepancy. Methods and Results FFR/iFR were analyzed using a Verrata wire, and coronary flow reserve was analyzed using a Combomap machine (both Philips-Volcano). The risk polymorphisms for endothelial nitric oxide synthase and for heme oxygenase-1 were analyzed. In total, 1884 FFR/iFR measurements from 1564 patients were included. The FFR/iFR discrepancy occurred in 393 measurements (20.9%): FFRp (positive)/iFRn (negative) type (264 lesions, 14.0%) and FFRn/iFRp (129 lesions, 6.8%) type. Coronary flow reserve was measured in 343 lesions, correlating better with iFR (R=0.56,

Identifiants

pubmed: 35502771
doi: 10.1161/JAHA.121.021490
pmc: PMC9238629
doi:

Substances chimiques

Hemoglobins 0
Nitric Oxide Synthase Type III EC 1.14.13.39
Heme Oxygenase-1 EC 1.14.14.18

Banques de données

ClinicalTrials.gov
['NCT03033810']

Types de publication

Journal Article Multicenter Study Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e021490

Investigateurs

Tomas Kovarnik (T)
Ales Kral (A)
Stepan Jerabek (S)
David Zemanek (D)
Jan Pudil (J)
Jiri Humhal (J)
Karel Gorican (K)
Michael Padour (M)
Stanislav Šimek (S)
Jan Belohlavek (J)
Daniel Rob (D)
Michaela Hronova (M)
Ales Kral (A)
Matsuo Hitoshi (M)
Yoshiaki Kawase (Y)
Hiroyuki Omori (H)
Toru Tanigaki (T)
Alexandra Vodzinska (A)
Jindrich Cerny (J)
Jan Indrak (J)
Miroslav Hudec (M)
Marian Branny (M)
Jan Mrozek (J)
Martin Porzer (M)
Tomas Grezl (T)
Roman Stipal (R)
Petr Kala (P)
Jan Kanovsky (J)
Otakar Bocek (O)
Martin Poloczek (M)
Petr Jerabek (P)
Kamil Novobilsky (K)
Tomas Kolomaznik (T)
Oscar Mendiz (O)
Karel Kopriva (K)
Martin Mates (M)
Frantisek Holy (F)
Martin Chval (M)
Zhi Chen (Z)
Pavel Martasek (P)
Lubomir Kralik (L)

Commentaires et corrections

Type : CommentIn

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Auteurs

Tomas Kovarnik (T)

2nd Department of Medicine Department of Cardiovascular Medicine First Faculty of Medicine Charles University and General University Hospital in Prague Prague Czech Republic.

Matsuo Hitoshi (M)

Gifu Heart Center Gifu Japan.

Ales Kral (A)

2nd Department of Medicine Department of Cardiovascular Medicine First Faculty of Medicine Charles University and General University Hospital in Prague Prague Czech Republic.

Stepan Jerabek (S)

2nd Department of Medicine Department of Cardiovascular Medicine First Faculty of Medicine Charles University and General University Hospital in Prague Prague Czech Republic.

David Zemanek (D)

2nd Department of Medicine Department of Cardiovascular Medicine First Faculty of Medicine Charles University and General University Hospital in Prague Prague Czech Republic.

Yoshiaki Kawase (Y)

Gifu Heart Center Gifu Japan.

Hiroyuki Omori (H)

Gifu Heart Center Gifu Japan.

Toru Tanigaki (T)

Gifu Heart Center Gifu Japan.

Jan Pudil (J)

2nd Department of Medicine Department of Cardiovascular Medicine First Faculty of Medicine Charles University and General University Hospital in Prague Prague Czech Republic.

Alexandra Vodzinska (A)

Cardiology Department of Trinec Podlesi Hospital Trinec Czech Republic.

Marian Branny (M)

Cardiovascular Department University Hospital Ostrava Ostrava Czech Republic.

Roman Stipal (R)

Department of Internal Medicine and Cardiology University HospitalFaculty of MedicineMasaryk University Brno Brno Czech Republic.

Petr Kala (P)

Department of Internal Medicine and Cardiology University HospitalFaculty of MedicineMasaryk University Brno Brno Czech Republic.

Jan Mrozek (J)

Cardiovascular Department University Hospital Ostrava Ostrava Czech Republic.

Martin Porzer (M)

Cardiovascular Department University Hospital Ostrava Ostrava Czech Republic.

Tomas Grezl (T)

Cardiovascular Department University Hospital Ostrava Ostrava Czech Republic.

Kamil Novobilsky (K)

Cardiology Department Municipal Hospital Ostrava Ostrava Czech Republic.

Oscar Mendiz (O)

Fundacion Favaloro Buenos Aires Argentina.

Karel Kopriva (K)

Cardiology Department Homolka Hospital Prague Czech Republic.

Martin Mates (M)

Cardiology Department Homolka Hospital Prague Czech Republic.

Martin Chval (M)

Institute for Research and Development of Education Faculty of Education Charles University Prague Czech Republic.

Zhi Chen (Z)

Department of Electrical & Computer Engineering Iowa Institute for Biomedical ImagingThe University of Iowa IA.

Pavel Martasek (P)

Department of Paediatrics and Inherited Metabolic Disorders First Faculty of Medicine Charles UniversityGeneral University Hospital Prague Czech Republic.

Ales Linhart (A)

2nd Department of Medicine Department of Cardiovascular Medicine First Faculty of Medicine Charles University and General University Hospital in Prague Prague Czech Republic.

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Classifications MeSH