Quantitative flow reserve (QFR) allows for functional assessment of stenosis in a vessel using angiography, allowing estimation of the residual QFR (rQFR) after simulated stenting. Use of rQFR was able to predict post‐PCI FFR ≤ 0.80 and using a rQFR≤0.89 cut‐off was correlated with an increased need for repeat target vessel revascularization. Angiographic FFR tools provide rapid, safe, and complete coronary hemodynamics and will likely supplant wire‐based measurements once fully validated and properly marketed.
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http://dx.doi.org/10.1002/ccd.30492 | DOI Listing |
Neuroradiology
January 2025
Department of Radiology, Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, 210002, Jiangsu, China.
Purpose: We aimed to validate a clinically available artificial intelligence (AI) model to assist general radiologists in the detection of intracranial aneurysm (IA) in a multi-reader multi-case (MRMC) study, and to explore its performance in routine clinical settings.
Methods: Two distinct cohorts of head CT angiography (CTA) data were assembled to validate an AI model. Cohort 1, comprising gold-standard consecutive CTA cases, was used in an MRMC study involving six board-certified general radiologists.
Neuroinformatics
January 2025
Department of Clinical Medicine, UiT the Arctic University of Norway, Tromsø, Norway.
Intracranial atherosclerotic stenosis (ICAS) and intracranial aneurysms are prevalent conditions in the cerebrovascular system. ICAS causes a narrowing of the arterial lumen, thereby restricting blood flow, while aneurysms involve the ballooning of blood vessels. Both conditions can lead to severe outcomes, such as stroke or vessel rupture, which can be fatal.
View Article and Find Full Text PDFBackground Autonomic dysfunction is associated with adverse outcomes in patients with coronary artery disease. Cardiac autonomic dysfunction parameters such as heart rate variability (HRV) and heart rate recovery (HRR) have been studied individually and have been linked to the presence or likelihood of coronary artery disease. In this study, the cardiac autonomic function was assessed in terms of HRR and HRV.
View Article and Find Full Text PDFRes Pract Thromb Haemost
January 2025
Department of Clinical Chemistry, MaasstadLab, Maasstad Hospital, Rotterdam, the Netherlands.
Background: Pulmonary embolism (PE) is a life-threatening condition with high morbidity and mortality. The diagnosis of PE is challenging due to nonspecific symptoms, making reliable diagnostic tools essential. This study addresses the clinical impact of interassay variability in D-dimer measurements on the utilization and diagnostic yield of computed tomography pulmonary angiography (CTPA).
View Article and Find Full Text PDFJ Stroke Cerebrovasc Dis
January 2025
UCHealth Memorial Hospital Colorado Springs, Colorado. Electronic address:
Introduction: During a cerebrovascular procedure, diligent care is made to ensure no air is present in lines and connectors. Should air enter the cerebral vasculature, cerebral air emboli can cause worsening neurological outcome or death. This communication outlines how a process change of refrigerating mixed heparin for storage lead to the presence of unintentional air, or off-gassing of the fluid.
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