Coronary disease & ACSDiagnostic or prognostic study
Invasive Right Anomalous Coronary Arteries Assessment
- Prospective single-center diagnostic accuracy study
- consecutive patients
- prospectively enrolled
Authors' conclusion
In adults with newly diagnosed R-AAOCA and interarterial and intramural course, one-quarter were hemodynamically relevant. FFRAdenosine could reliably rule-in, while IVUS-MLA could effectively rule-out relevant R-AAOCA, potentially reducing the need for FFRDobutamine testing.
Study context
- Population
- Patients with R-AAOCA and interarterial/intramural coursepatients included, 17 (23%) with hemodynamically relevant R-AAOCA
- Participants
- 73 patients
- Comparison
- Diagnostic accuracy of FFRAdenosine and IVUS-MLA against the reference standard of FFRDobutamine for identifying hemodynamically relevant R-AAOCA
Performance
As reported in the abstract
Patients with hemodynamically relevant R-AAOCA
Seventeen patients (23%)
Further findings
Diagnostic performance for FFRDobutamine ≤0.80
threshold FFRAdenosine ≤0.80 · IVUS-MLA ≤5.5 mm²
specificity
positive predictive value
sensitivity
negative predictive value
area under the curve FFRAdenosine 0.81 · IVUS-MLA 0.88
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Summarised from the published abstract; every number is checked against it