Coronary disease & ACS

Simplification of continuous intracoronary thermodilution

EuroInterventionPublished Method validation study

Authors' conclusion

Predicting Ti resulted in an excellent agreement with measured Ti for the assessment of coronary blood flow.

Study context

Population
Patients with continuous intracoronary thermodilution Q measurementcohorts of 371, 120 and 23
Comparison
Simplified Q vs standard Q and positron emission tomography (PET)-derived Q
  • PET-derived Qn = 23reference
Outcome
Agreement of simplified Q (predicted saline entry temperature Ti) with standard Q and PET-derived Q
Methodological detailsderivation and validation cohorts, Ti prediction equation derived by multivariate linear regression in 371 patients with Q at rest and hyperaemia
  • Derivation and validation cohorts
  • Ti prediction equation derived by multivariate linear regression in 371 patients with Q at rest and hyperaemia

Performance

As reported in the abstract

Agreement of simplified Q
Simplified Q vs Standard Q · validation cohort of 120
r 0.94 (CI 0.93–0.95); P < 0.001
Simplified Q vs Standard Q · validation cohort of 120
ICC 0.94 (CI 0.92–0.95); P < 0.001
Simplified Q vs PET-derived Q · validation cohort of 23
r 0.86 (CI 0.75–0.92); P < 0.001
Simplified Q vs PET-derived Q · validation cohort of 23
ICC 0.84 (CI 0.72–0.91); P < 0.001
No significant difference vs standard Q in correlation coefficients with PET-derived Q
P = 0.29
No significant difference vs standard Q in SDs of absolute differences with PET-derived Q
P = 0.85

Original publication

Simplification of continuous intracoronary thermodilution. EuroIntervention. Published 7 October 2024. doi:10.4244/eij-d-24-00215

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