Evidence map›Paper›PMID 40165396›Full record

ArticleCatheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions2025

The Impact of Hydrostatic Pressure on Fractional Flow Reserve in Saphenous Vein Grafts.

Roel Hoek, Sina Porouchani, Ruben W de Winter, Yvemarie B O Somsen, Pepijn A van Diemen, Ruurt A Jukema, Jos W Twisk, Adriaan Wilgenhof, Alexander W den Hartog, Niels J Verouden and 4 more

Abstract read
In one paragraph

Article in Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Roel HoekDepartment of Cardiology, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.ORCID http://orcid.org/0000-0002-7927-0366
Sina PorouchaniDepartment of Cardiology, Lille University Hospital, Lille, France.
Ruben W de WinterDepartment of Cardiology, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.ORCID http://orcid.org/0000-0003-2199-5943
Yvemarie B O SomsenDepartment of Cardiology, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.ORCID http://orcid.org/0009-0002-2585-9631
Pepijn A van DiemenDepartment of Cardiology, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.ORCID http://orcid.org/0000-0001-5482-6201
Ruurt A JukemaDepartment of Cardiology, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.
Jos W TwiskDepartment of Epidemiology & Data Science, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.
Adriaan WilgenhofDepartment of Cardiology, Onze-Lieve-Vrouwenziekenhuis, Aalst, Belgium.ORCID http://orcid.org/0000-0002-3263-7394
Alexander W den HartogDepartment of Cardiology, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.
Niels J VeroudenDepartment of Cardiology, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.
Nils R PlankenDepartment of Radiology & Nuclear Medicine, Amsterdam UMC, Academisch Medisch Centrum, Amsterdam, the Netherlands.
Ibrahim DanadDepartment of Cardiology, Radboud University Medical Center, Nijmegen, the Netherlands.
Alexander NapDepartment of Cardiology, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.
Paul KnaapenDepartment of Cardiology, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.ORCID http://orcid.org/0000-0001-8038-7898

Funding

The authors received no specific funding for this work.
6 · The paper itself

Abstract

backgroundThe relationship between height differences related to graft anatomy and physiological pressure indices in coronary bypass grafts has not been studied. We sought to study the impact of hydrostatic pressure on fractional flow reserve (FFR) in saphenous vein grafts (SVGs).

methodsIncluded were 66 symptomatic patients (76 SVGs) with prior coronary artery bypass grafting who underwent coronary computed tomography angiography (CCTA) preceding invasive coronary angiography with FFR interrogation of ≥ 1 SVGs. The graft course and height excursion were reconstructed based on CCTA images. The impact of hydrostatic pressure on FFR (corrected FFR) was calculated by adding or subtracting 0.077 mmHg to the distal coronary pressure for every millimeter height difference in a supine position between the SVG ostium and the pressure wire tip position.

resultsThe height difference (mm) between the SVG ostium and pressure wire tip position was largest for single SVGs to the circumflex artery (Cx; -55.1 ± 17.0), followed by sequential SVGs to the Cx (-51.8 ± 17.3) and the right coronary artery (RCA; -36.7 ± 21.6). The correlation between height difference and uncorrected FFR was -0.59 (p < 0.001). Corrected FFR was lower as compared to uncorrected FFR in the overall cohort (0.86 ± 0.17 vs. 0.88 ± 0.18), in single SVGs to Cx (0.85 ± 0.17 vs. 0.90 ± 0.18), and in sequential SVGs to Cx (0.92 ± 0.14 vs. 0.96 ± 0.15) and RCA (0.82 ± 0.17 vs. 0.85 ± 0.21) (p < 0.001 for all).

conclusionsHydrostatic pressure related to height differences along the course anatomy of SVGs can impact FFR measurements, with corrected FFR being significantly lower in SVGs to the Cx and sequential SVGs to the RCA.

Indexed as

Cardiac CatheterizationCoronary Artery BypassCoronary Artery DiseaseFractional Flow Reserve, MyocardialSaphenous VeinAgedComputed Tomography AngiographyCoronary AngiographyFemaleHumansHydrostatic PressureMaleMiddle AgedPredictive Value of TestsRetrospective StudiesTreatment Outcomecoronary artery bypass graftingcoronary artery diseasecoronary computed tomography angiographyfractional flow reservehydrostatic pressuresaphenous vein graft

Identifiers

PMID40165396
PMCPMC12231170

What Socratic holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.