Diagnostic performance of quantitative flow ratio against intravascular ultrasound in left main coronary artery disease: a prospective single-centre study.
Sep 2026· The International Journal of Cardiovascular Imaging· 0 citations· 9 references
Medicine
TL;DR
QFR demonstrated moderate concordance with IVUS but limited sensitivity, particularly in distal bifurcation lesions, and underestimated vessel dimensions, which limits its utility for LMCA procedural planning and stent optimization.
BACKGROUND
Intermediate left main coronary artery (LMCA) disease poses a significant diagnostic challenge. Intravascular ultrasound (IVUS) is the guideline-recommended reference standard for anatomical assessment, whereas quantitative flow ratio (QFR) provides a wire-free physiological estimate. Conventional coronary a...
İskan Zengin, Fuat Polat, Deniz Elçik et al.· Catheterization and cardiova...· 0 citations
BACKGROUND
Quantitative Flow Ratio (QFR) is a well-established, non-hyperemic, angiographic, wire-free predictor of ischemia when compared to Fractional Flow Reserve (FFR). However, its diagnostic accuracy at low frame rates (< 10 frames/second), commonly used in contemporary practice to minimize radiation exposure, ha...
Joseph M. O'Brien, Michael Zhang, Tom Ford et al.· Catheterization and cardiova...· 0 citations
Computed tomography-derived fractional flow reserve (CT-FFR) provides good diagnostic performance for detecting haemodynamically significant CAD in TAVI candidates and integration into routine workflows may reduce purely diagnostic invasive procedures while maintaining accuracy.
Soner Aksüyek, F. Koca, Abdulsamet Arslan et al.· Cardiovascular Journal of Af...· 0 citations
OBJECTIVE
While pressure-wire based fractional flow reserve (FFR) is considered the gold standard for evaluating coronary lesion significance, its use in daily clinical practice remains limited.Angiography derived vessel based FFR (vFFR) offers a promising alternative, without the need for pressure wires or hyperaemia...
H. Kovvuri, J. N. Arul, Harsimran S. Singh et al.· Indian Heart Journal· 0 citations
Background Instantaneous wave-free ratio (IFR) represents a new vasodilator-free innovative approach which is considered as a gold standard for functional assessment of the hemodynamic significance of intermediate coronary stenoses. Although relatively safe, iFR is still an invasive procedure that has its potential haz...
Tamer M. Ragab, Khaled A. Alkhashab, Mohamed Z. Hussain et al.· Journal of the Saudi Heart A...· 0 citations