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Correlation between dual-axis rotational coronary angiography and intravascular ultrasound in a coronary lesion assessment

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Abstract

The purpose of this study was to evaluate the accuracy of dual-axis rotational coronary angiography (DARCA) for coronary lesion assessment by directly comparing with intravascular ultrasound (IVUS). From October 2014 to December 2015, 40 patients (58 lesions) who had undergone both DARCA and IVUS were included in the image analysis. The minimum lumen diameter (MLD), lesion length, reference vessel diameter (RVD) and percent diameter stenosis at the same lesion, were identified and assessed. Significant correlation with IVUS was found for DARCA in either lesion length (r = 0.90, P < 0.001) or RVD (r = 0.81, P < 0.001) comparison. DARCA had fair correlation with IVUS for both MLD (r = 0.65, P < 0.001) and diameter stenosis (r = 0.48, P < 0.001). From the Bland–Altman plots, there was a good agreement between DARCA and IVUS regarding MLD (mean difference: −0.23 mm, 95 % limits of agreement: −0.96 to 0.50 mm) and RVD (mean difference: −0.15 mm, 95 % limits of agreement: −0.85 to 0.55 mm), while lesser agreement was found on lesion length (mean difference: −3.39 mm, 95 % limits of agreement: −12.63 to 5.85 mm) and diameter stenosis (mean difference: 4.82 %, 95 % limits of agreement: −17.05 to 26.68 %). There is an adequate correlation and agreement between DARCA and IVUS in coronary lesion assessment.

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Acknowledgments

We gratefully thank the following people: Professor Manesh R. Patel and Lawrence E. Crawford (Division of Cardiology, Duke University Health System, Durham, NC, USA), as well as Professor Yang Wang (Medical Research & Biometrics Center, National Center for Cardiovascular Disease, Beijing, China), for their kind instructions for this article.

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Authors and Affiliations

  1. Chinese People’s Liberation Army General Hospital, Beijing, China

    Zhi-geng Jin

  2. Department of Laser Medicine, General Hospital of Chinese People’s Armed Police Forces, Beijing, China

    Zhuo-qi Zhang

  3. Department of Cardiology, General Hospital of Chinese People’s Armed Police Forces, No. 69, Yongding Road, Haidian District, Beijing, 100039, China

    Li-min Jing, Yu-jie Wei, Jiao Zhang, Jian-ping Luo, Sheng-li Yang, Dong-xing Ma, Ying Liu, Wei Han, Yong Yang & Hui-liang Liu

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  1. Zhi-geng Jin
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Jin, Zg., Zhang, Zq., Jing, Lm. et al. Correlation between dual-axis rotational coronary angiography and intravascular ultrasound in a coronary lesion assessment. Int J Cardiovasc Imaging 33, 153–160 (2017). https://doi.org/10.1007/s10554-016-0999-5

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  • DOI: https://doi.org/10.1007/s10554-016-0999-5

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