Impact of left anterior descending lesion location on midterm outcomes in patients undergoing left internal mammary artery grafting: a five-year cohort study integrating quantitative flow ratio assessment
QFR-guided risk stratification is most prognostically impactful for proximal LAD lesions, where hemodynamic significance plays a critical role in clinical outcomes. In contrast, mid-to-distal lesions exhibit limited QFR utility, emphasizing anatomical-functional synergy in CABG planning. Despite comparable survival across lesion sites, proximal low QFR lesions warrant intensified surveillance.
Authors
- Wenlong Yan (ORCID: https://orcid.org/0000-0001-5602-3269)
- Yuhui Wu (ORCID: https://orcid.org/0000-0002-2147-3857)
- Rui Jiang
- Tianyu Wang (ORCID: https://orcid.org/0000-0002-7747-2685)
- Zeyu Chen (ORCID: https://orcid.org/0000-0001-8534-0829)
- Zhijun Sun (ORCID: https://orcid.org/0000-0003-2962-5488)
- Sumin Yang
Institutions
- Qingdao University (CN)
- Affiliated Hospital of Qingdao University (CN)
- Ocean University of China (CN)
Publication Details
- Journal
- Frontiers in Cardiovascular Medicine
- Published
- 2025-08-11
- DOI
- https://doi.org/10.3389/fcvm.2025.1605573
- Primary Topic
- Coronary Interventions and Diagnostics
- Type
- article
- Field-Weighted Citation Impact
- 0.00