Coronary disease & ACS

QFR-Based Virtual Percutaneous Coronary Intervention (PCI) or Conventional Angiography to Guide PCI: The AQVA Trial

JACC Cardiovasc IntervPublished Randomised controlled trial

Primary resultResult — go to the resultAbsolute difference 8.5%

Authors' conclusion

The AQVA trial demonstrated the superiority of QFR-based virtual PCI over angiography-based PCI with regard to post-PCI optimal physiological results.

Study context

Population
Patients undergoing PCI
Participants
300 patients356 study vessels
Comparison
Quantitative flow ratio (QFR)-based virtual PCI vs angiography-based PCI
Primary endpoint
Rate of study vessels with suboptimal post-PCI QFR (<0.90)
Methodological detailsinvestigator-initiated, parallel-group
  • Investigator-initiated
  • Parallel-group

Primary result

As reported in the abstract

Absolute difference

8.5%

P = 0.009

Events by treatment group

Secondary outcomes

Procedure duration, stent length/lesion, stent number/patient

No significant differences; stent length/lesion numerically lower with virtual PCI
P = 0.06
Stent number/patient numerically lower with virtual PCI
P = 0.08
Procedure length higher with virtual PCI
P = 0.06

Original publication

QFR-Based Virtual PCI or Conventional Angiography to Guide PCI: The AQVA Trial. JACC Cardiovasc Interv. Published 8 March 2023. doi:10.1016/j.jcin.2022.10.054

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