Coronary disease & ACS

Impact of Pullback Pressure Gradient on Clinical Outcomes after Percutaneous Coronary Interventions

Circ Cardiovasc IntervPublished Post hoc analysis of the pullback pressure gradient (PPG) Global prospective study

Primary result · Target vessel failureResult — go to the resultAdjusted hazard ratio 1.97 95% CI 1.24–3.15

Authors' conclusion

PPG-predicted post-PCI physiology was associated with target vessel failure at 1 year.

Study context

Population
Patients with hemodynamically significant CAD undergoing percutaneous coronary intervention (PCI)
Participants
855 patients890 vessels
Comparison
Predicted suboptimal vs optimal post-PCI physiology
Primary endpoint
Target vessel failure:
  • Cardiac death
  • Target-vessel MI
  • Ischemia-driven target vessel revascularization
Follow-up
1 year
Methodological detailsmulticentre
  • Multicentre

Primary result

Target vessel failure

Adjusted hazard ratio

1.97

95% CI 1.24–3.15

P = 0.004

Suboptimalvs Optimal
adjusted HR 1.97 (95% CI 1.24–3.15); P = 0.004

As reported in the abstract

Further findings

OutcomeMean difference
Agreement of predicted vs measured post-PCI FFRLimits of agreement −0.10 to 0.100.001

Correlation of predicted vs measured delta fractional flow reserve (FFR)

R
0.92 (95% CI 0.91-0.93); P<0.001

Original publication

Impact of Pullback Pressure Gradient on Clinical Outcomes after Percutaneous Coronary Interventions. Circ Cardiovasc Interv. Published 25 October 2025. doi:10.1161/circinterventions.125.016022

Composed by AI from the published abstract and checked against it. How Briefs are made →

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