Literature DB >> 35291508

FFR pressure wire comparative study for drift: piezo resistive versus optical sensor.

Daan Cottens1, Bert Ferdinande1, Jawed Polad2, Mathias Vrolix1, Koen Ameloot1, Ief Hendrickx1, Ella Poels1, Joren Maeremans3, Jo Dens1,3.   

Abstract

BACKGROUND: This study aimed to assess the stability of pressure derived fractional flow reserve (FFR) measurement and the handling performance of the OptoWire Deux with an optical pressure sensor relative to the PressureWire X with piezo resistive pressure sensors.
METHODS: This multicenter centre observational study included 50 patients between June 2017 and November 2018 undergoing a diagnostic coronary angiography with FFR measurement of moderate to severe lesions. The reliability of FFR measurement measured with the OptoWire Deux relative to the PressureWire X in each lesion was assessed by the presence of drift. Handling characteristics for both pressure wires were assessed by a 5-point scale and by comparing the time between equalization and crossing the distal target lesion.
RESULTS: Hundred and sixteen measurements in 50 patients were performed. Very stable and reliable FFR measurements with the optical sensors were registered, relative to the piezo resistive pressure sensors. There is statistically significant difference in favor of the OptoWire Deux over the PressureWire X (P=0.001). However, the differences are small, when drift values were compared as continuous variables, no statistically significant difference was found for both directional (P=0.435) as for absolute drift (P=0.058).
CONCLUSIONS: In patients undergoing FFR measurement, both optical sensor pressure wires (Optowire Deux) as piezo resistive sensor pressure wires (PressureWire X) generate stable and reliable pressure and thus FFR measurement. The optical pressure sensor is less susceptible for drift relative to the piezo resistive pressure sensor, but the difference is within an acceptable range. AJCD
Copyright © 2022.

Entities:  

Keywords:  Fractional flow reserve; drift; optical pressure sensor; piezo resistive pressure sensor

Year:  2022        PMID: 35291508      PMCID: PMC8918737     

Source DB:  PubMed          Journal:  Am J Cardiovasc Dis        ISSN: 2160-200X


  20 in total

1.  Importance of guiding catheter disengagement during measurement of fractional flow reserve in patients with an isolated proximal left anterior descending artery stenosis.

Authors:  Adel Aminian; Dariouch Dolatabadi; Pascal Lefebvre; Georges Khalil; Robert Zimmerman; Georges Michalakis; Jacques Lalmand
Journal:  Catheter Cardiovasc Interv       Date:  2014-06-25       Impact factor: 2.692

2.  Instantaneous Wave-free Ratio versus Fractional Flow Reserve.

Authors:  Justin E Davies; Sayan Sen; Javier Escaned
Journal:  N Engl J Med       Date:  2017-10-19       Impact factor: 91.245

3.  Revascularization decisions in patients with stable angina and intermediate lesions: results of the international survey on interventional strategy.

Authors:  Gabor G Toth; Balint Toth; Nils P Johnson; Frederic De Vroey; Luigi Di Serafino; Stylianos Pyxaras; Dan Rusinaru; Giuseppe Di Gioia; Mariano Pellicano; Emanuele Barbato; Carlos Van Mieghem; Guy R Heyndrickx; Bernard De Bruyne; William Wijns
Journal:  Circ Cardiovasc Interv       Date:  2014-10-21       Impact factor: 6.546

4.  Discordance between pressure drift after wire pullback and intracoronary distal pressure offset affects stenosis physiology appraisal.

Authors:  Lorena Casadonte; Jan J Piek; Ed VanBavel; Jos A E Spaan; Maria Siebes
Journal:  Int J Cardiol       Date:  2018-08-18       Impact factor: 4.164

5.  Comparison of Major Adverse Cardiac Events Between Instantaneous Wave-Free Ratio and Fractional Flow Reserve-Guided Strategy in Patients With or Without Type 2 Diabetes: A Secondary Analysis of a Randomized Clinical Trial.

Authors:  Joo Myung Lee; Ki Hong Choi; Bon-Kwon Koo; Hakim-Moulay Dehbi; Joon-Hyung Doh; Chang-Wook Nam; Eun-Seok Shin; Christopher M Cook; Rasha Al-Lamee; Ricardo Petraco; Sayan Sen; Iqbal S Malik; Sukhjinder S Nijjer; Hernán Mejía-Rentería; Eduardo Alegria-Barrero; Ali Alghamdi; John Altman; Sérgio B Baptista; Ravinay Bhindi; Waldemar Bojara; Salvatore Brugaletta; Pedro Canas Silva; Carlo Di Mario; Andrejs Erglis; Robert T Gerber; Olaf Going; Tobias Härle; Farrel Hellig; Ciro Indolfi; Luc Janssens; Allen Jeremias; Rajesh K Kharbanda; Ahmed Khashaba; Yuetsu Kikuta; Florian Krackhardt; Mika Laine; Sam J Lehman; Hitoshi Matsuo; Martijin Meuwissen; Giampaolo Niccoli; Jan J Piek; Flavo Ribichini; Habib Samady; James Sapontis; Arnold H Seto; Murat Sezer; Andrew S P Sharp; Jasvindar Singh; Hiroaki Takashima; Suneel Talwar; Nobuhiro Tanaka; Kare Tang; Eric Van Belle; Niels van Royen; Hugo Vinhas; Christiaan J Vrints; Darren Walters; Hiroyoshi Yokoi; Bruce Samuels; Chris Buller; Manesh R Patel; Patrick Serruys; Javier Escaned; Justin E Davies
Journal:  JAMA Cardiol       Date:  2019-09-01       Impact factor: 14.676

6.  Recognition of Drift: A Key to Success With Invasive Physiology.

Authors:  Evan Shlofmitz; Jordan Busch
Journal:  Cardiovasc Revasc Med       Date:  2021-11-29

7.  Fractional flow reserve versus angiography for guiding percutaneous coronary intervention.

Authors:  Pim A L Tonino; Bernard De Bruyne; Nico H J Pijls; Uwe Siebert; Fumiaki Ikeno; Marcel van' t Veer; Volker Klauss; Ganesh Manoharan; Thomas Engstrøm; Keith G Oldroyd; Peter N Ver Lee; Philip A MacCarthy; William F Fearon
Journal:  N Engl J Med       Date:  2009-01-15       Impact factor: 91.245

8.  Fractional flow reserve-guided PCI versus medical therapy in stable coronary disease.

Authors:  Bernard De Bruyne; Nico H J Pijls; Bindu Kalesan; Emanuele Barbato; Pim A L Tonino; Zsolt Piroth; Nikola Jagic; Sven Möbius-Winkler; Sven Mobius-Winckler; Gilles Rioufol; Nils Witt; Petr Kala; Philip MacCarthy; Thomas Engström; Keith G Oldroyd; Kreton Mavromatis; Ganesh Manoharan; Peter Verlee; Ole Frobert; Nick Curzen; Jane B Johnson; Peter Jüni; William F Fearon
Journal:  N Engl J Med       Date:  2012-08-27       Impact factor: 91.245

9.  Quantification of the Effect of Pressure Wire Drift on the Diagnostic Performance of Fractional Flow Reserve, Instantaneous Wave-Free Ratio, and Whole-Cycle Pd/Pa.

Authors:  Christopher M Cook; Yousif Ahmad; Matthew J Shun-Shin; Sukhjinder Nijjer; Ricardo Petraco; Rasha Al-Lamee; Jamil Mayet; Darrel P Francis; Sayan Sen; Justin E Davies
Journal:  Circ Cardiovasc Interv       Date:  2016-04       Impact factor: 6.546

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