Coronary disease & ACSCohort study

Association Between Angiography-Derived Murray Law–Based Quantitative Flow Ratio and 1-Year Coronary Artery Bypass Graft Patency

JACC Cardiovasc IntervPublished

  • Retrospective cohort study

Authors' conclusion

The functional significance of coronary artery stenosis of target vessels, as measured by μFR, is associated with 1-year graft patency after off-pump CABG with an optimal cutoff value of 0.77

Study context

Population
Patients undergoing isolated off-pump coronary artery bypass grafting (CABG) for 3-vessel disease with 1-year graft evaluation2,324 distal anastomoses
Participants
809 patients
Exposure
Preoperative μFR of target vessels and 1-year graft patency after CABG
Outcome
Graft patency
Follow-up
1 year

Main finding

1-year graft patency by μFR

Odds ratio

0.847

95% CI 0.731–0.982

P = 0.03

μFR
OR 0.847 (95% CI 0.731–0.982); P = 0.03

As reported in the abstract

1-year graft occlusion rate
5.1% (118 of 2,324 anastomoses; 95% CI: 4.2-6.1)
Optimal μFR cutoff (lowest P value; strongest discrimination 0.75–0.78)
0.77

Observational data: associations, not effects.

Further findings

Early graft patency by μFR

ComparisonOR (95% CI)P value
μFR · multivariable analysis0.941 (0.746–1.186)P = 0.60
Early graft patency by μFR — Early graft occlusion rate
0.8% (19 of 2,324 anastomoses; 95% CI: 0.5-1.3)

Original publication

Association Between Angiography-Derived Murray Law–Based Quantitative Flow Ratio and 1-Year Coronary Artery Bypass Graft Patency. JACC Cardiovasc Interv. Published 13 October 2025. doi:10.1016/j.jcin.2025.08.027

Summarised from the published abstract; every number is checked against it