Angiocoregistration of instantaneous wave-free ratio using “virtual stenting” and results of real stenting in patients with coronary artery disease and diffuse coronary artery lesions

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Bubnov D.S.

Chazov National Medical Research Center for Cardiology

ORCID: 0000-0003-1538-2761

Atanesyan R.V.

Chazov National Medical Research Center for Cardiology

ORCID: 0000-0003-3522-9537

Kardanakhishvili Z.B.

Chazov National Medical Research Center for Cardiology

ORCID: 0000-0001-9739-6432

Shamrina N.S.

Chazov National Medical Research Center for Cardiology

ORCID: 0000-0001-9778-5825

Matchin Y.G.

Chazov National Medical Research Center for Cardiology

ORCID: 0000-0002-0200-852X

Angiocoregistration of instantaneous wave-free ratio using “virtual stenting” and results of real stenting in patients with coronary artery disease and diffuse coronary artery lesions

Authors:

Bubnov D.S., Atanesyan R.V., Kardanakhishvili Z.B., Shamrina N.S., Matchin Y.G.

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Journal: Russian Cardiology Bulletin. 2023;18(4): 92‑101

DOI: 10.17116/Cardiobulletin20231804192

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To cite this article:

Bubnov DS, Atanesyan RV, Kardanakhishvili ZB, Shamrina NS, Matchin YG. Angiocoregistration of instantaneous wave-free ratio using “virtual stenting” and results of real stenting in patients with coronary artery disease and diffuse coronary artery lesions. Russian Cardiology Bulletin. 2023;18(4):92‑101. (In Russ.)
https://doi.org/10.17116/Cardiobulletin20231804192

Подписка 2025 (Russian Cardiology Bulletin)

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OBJECTIVE

To analyze diagnostic accuracy of instantaneous wave-free ratio with «virtual stenting» for assessing severity of coronary stenoses in patients with diffuse lesions of coronary arteries.

MATERIAL AND METHODS

The study included 57 patients with chronic coronary artery disease, diffuse and/or multilevel coronary lesions and iFR ≤0.89. «Virtual stenting» with analysis of apparent iFR before PCI was performed in 59 coronary arteries. Moreover, balloon angioplasty with stenting was followed by assessment of actual iFR after PCI.

RESULTS

We obtained similar apparent iFR before PCI (0.94 [0.92; 0.95]) and actual iFR after PCI (0.91 [0.90; 0.93]). Mean difference between these values in the overall group was 2.3±3.4%, for multilevel lesions — 2.1±3.3%, for diffuse lesions 2.8±3.7%. Absolute percentage error in the overall group was 2.21% (95% CI 1.61—3.28) and did not exceed the 95^th percentile (8.11%). This finding indicates adequate accuracy of indicators predicted by iFR angiocoregistration.

CONCLUSION

Angiocoregistration of iFR with «virtual stenting» can be used for preliminary assessment and modeling of results of elective PCI in patients with multilevel and diffuse coronary lesions.

Keywords:

coronary artery disease

diffuse lesion of coronary arteries

multilevel lesion of coronary arteries

iFR with reverse broaching

angiocoregistration of iFR

«virtual stenting»

Authors:

Bubnov D.S.

Chazov National Medical Research Center for Cardiology

ORCID: 0000-0003-1538-2761

Atanesyan R.V.

Chazov National Medical Research Center for Cardiology

ORCID: 0000-0003-3522-9537

Kardanakhishvili Z.B.

Chazov National Medical Research Center for Cardiology

ORCID: 0000-0001-9739-6432

Shamrina N.S.

Chazov National Medical Research Center for Cardiology

ORCID: 0000-0001-9778-5825

Matchin Y.G.

Chazov National Medical Research Center for Cardiology

ORCID: 0000-0002-0200-852X

Received:

15.10.2023

Accepted:

16.10.2023

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