Angiography-based physiology to guide coronary revascularization (Registro nro. 22722)
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| 000 -Cabecera | |
|---|---|
| Campo de control interno | 02799nam a2200289 4500 |
| 001 - Número de control | |
| control field | ESSALUD |
| 005 - Fecha y hora de la última transacción | |
| Campo de control | 20260804122304.0 |
| 007 - Tipo material - Descripcion fisica - info general | |
| Tipo material - Descripcion fisica - info general | ta |
| 008 - Elementos de Longitud Fija - Información General | |
| Elementos de Longitud Fija - Información | t pe ||||| |||| 00| 0 spa d |
| 040 ## - Origen de la Catalogación | |
| Origen de la Catalogación | BMG |
| 041 ## - Idioma | |
| Idioma | eng |
| 100 ## - Autor | |
| Autor | Daemen, Joost |
| Rol del Autor | Autor |
| 9 (RLIN) | 53647 |
| 245 ## - Titulo | |
| Titulo | Angiography-based physiology to guide coronary revascularization |
| 300 ## - Páginas | |
| Paginación | páginas: 20-31 |
| 520 ## - Resumen | |
| Resumen | Background: Current society guidelines recommend physiological assessment of intermediate coronary lesions to guide revascularization. Data regarding revascularization guided by vessel fractional flow reserve (vFFR), derived from three-dimensional quantitative coronary angiography without the need for a pressure wire or hyperemic agent, as compared with pressure-wire–based fractional flow reserve (FFR), are lacking.<br/>Methods: We conducted an international, open-label, randomized, noninferiority trial at 37 sites in Europe. Patients with intermediate coronary-artery lesions (diameter stenosis of 30 to 80%) who presented with chronic or acute coronary syndromes were randomly assigned in a 1:1 ratio to undergo either vFFR-guided or FFR-guided revascularization of the intermediate coronary-artery lesions. The primary end point was a composite of death from any cause, any myocardial infarction, or any revascularization at 1 year. The noninferiority margin was 3.0 percentage points.<br/>Results: The primary end point was assessed in 1116 patients in the vFFR group and 1095 in the FFR group. The mean age of the patients was 67 years, 24.3% were women, 18.7% presented with an acute coronary syndrome, and 26.6% had diabetes mellitus. At 1 year, a primary end-point event had occurred in 80 patients (Kaplan–Meier estimate, 7.5%) in the vFFR group and in 79 patients (Kaplan–Meier estimate, 7.5%) in the FFR group (risk difference, −0.02 percentage points; 95% confidence interval, −2.25 to 2.21; P=0.004 for noninferiority). The incidence of serious adverse events appeared to be similar in the two groups.<br/>Conclusions: Among patients with intermediate coronary lesions, vFFR-guided revascularization was noninferior to FFR-guided revascularization with respect to a composite of death, myocardial infarction, or revascularization at 1 year. <br/> |
| 650 ## - Temas - Descriptores | |
| Temas - Descriptores | CARDIOLOGÍA GENERAL |
| 9 (RLIN) | 53638 |
| 650 ## - Temas - Descriptores | |
| Temas - Descriptores | ENFERMEDAD CORONARIA |
| 9 (RLIN) | 14895 |
| 650 ## - Temas - Descriptores | |
| Temas - Descriptores | INFARTO DE MIOCARDIO |
| 9 (RLIN) | 13202 |
| 700 ## - Autor Personal | |
| Autor Personal | Van der Eijk, Jari A. |
| 9 (RLIN) | 53648 |
| 700 ## - Autor Personal | |
| Autor Personal | Barbierato, Marco |
| 9 (RLIN) | 53649 |
| 700 ## - Autor Personal | |
| Autor Personal | Byrne, Robert A. |
| 9 (RLIN) | 38050 |
| 700 ## - Autor Personal | |
| Autor Personal | Canova, Paolo |
| 9 (RLIN) | 53650 |
| 700 ## - Autor Personal | |
| Autor Personal | De Maria, Giovanni L. |
| 9 (RLIN) | 53651 |
| 700 ## - Autor Personal | |
| Autor Personal | Van Belle, Eric |
| 9 (RLIN) | 53652 |
| 773 0# - Revista (Relacion con el numero) | |
| Host Biblionumber | 22717 |
| Host Itemnumber | 22634 |
| Ciudad, Editorial | Massachusetts NEJM Group |
| Codigo barras item/ejemplar | NEJM001 |
| Titulo de la Revista | The New England Journal of Medicine |
| Número de control de registro | ESSALUD |
| ISSN | 0028-4793 |
| 942 ## - Elementos de Koha | |
| Tipo de Documento | Artículos |
| Fecha procesamiento | 2026-07-31 |
| Catalogador | sqb |
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