{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T07:05:32Z","timestamp":1771225532849,"version":"3.50.1"},"reference-count":31,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,4,15]],"date-time":"2025-04-15T00:00:00Z","timestamp":1744675200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,4,15]],"date-time":"2025-04-15T00:00:00Z","timestamp":1744675200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>This study aimed to evaluate the impact of the aorta\u2010right coronary artery angle (ARA) on lesion localization and its protective effect in the critical osteal region in patients with dominant right coronary artery (RCA).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This cross\u2010sectional study included 294 patients who underwent elective coronary angiography for stable angina pectoris and had a single significant lumen stenosis (50%\u201395%) before the RCA crux. Patients with tortuous vessels, previous interventions, left\u2010dominant circulation, or insufficient image quality were excluded. ARA, lesion criticality, length, and distance from the aorto\u2010osteal junction were calculated using quantitative coronary analysis. Patients were categorized based on lesion location: osteal, proximal, mid, and distal regions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      ARA increased significantly as the lesion localization moved distally (osteal: 53.26\u00b0\u2009\u00b1\u20095.65\u00b0, proximal: 60.79\u00b0\u2009\u00b1\u20099.53\u00b0, mid: 82.33\u00b0\u2009\u00b1\u20099.85\u00b0, distal: 93.53\u00b0\u2009\u00b1\u20097.46\u00b0;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.0001). A strong positive correlation was found between ARA and the distance of the lesion from the aorto\u2010osteal junction (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.759,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.0001). In binary regression, ARA was the only independent risk factor for critical lesion localization in the osteal region (OR\u2009=\u20090.915; 95% CI 0.868\u20130.965,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). ROC analysis showed that an ARA\u2009&gt;\u200973.50\u00b0 had 83.2% sensitivity and 81.3% specificity for excluding critical lesions in the osteal region (AUC\u2009=\u20090.861; 95% CI 0.815\u20130.907).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A narrow ARA increases the likelihood of critical lesions in the osteal RCA, while an ARA\u2009&gt;\u200973.50\u00b0 is protective. These findings suggest ARA could guide risk assessment and treatment planning in coronary interventions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ccd.31532","type":"journal-article","created":{"date-parts":[[2025,4,15]],"date-time":"2025-04-15T05:58:56Z","timestamp":1744696736000},"page":"233-241","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Could Right Coronary Artery\u2010Aorta Angle be Used to Predict Atherosclerotic Lesion Localization in Critical Site of the Right Coronary Artery in Patients With Right Dominancy?"],"prefix":"10.1002","volume":"106","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0272-9271","authenticated-orcid":false,"given":"Emre Melik","family":"Faideci","sequence":"first","affiliation":[{"name":"Cardiology Clinic Bilecik Training and Research Hospital, Pelit\u00f6z\u00fc Bilecik Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1278-6608","authenticated-orcid":false,"given":"Mehmet Emin","family":"Alak","sequence":"additional","affiliation":[{"name":"Cardiology Clinic Istanbul Bagcilar Training and Research Hospital Istanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6564-2360","authenticated-orcid":false,"given":"Sinan","family":"G\u00fczel","sequence":"additional","affiliation":[{"name":"Cardiovascular Surgery Clinic Kayseri State Hospital Kayseri Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0031-6457","authenticated-orcid":false,"given":"\u00d6zkan","family":"Bekler","sequence":"additional","affiliation":[{"name":"Cardiology Department Istanbul Medipol University Faculty of Medicine Istanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4212-2121","authenticated-orcid":false,"given":"G\u00fclden","family":"G\u00fcven","sequence":"additional","affiliation":[{"name":"Cardiology Clinic Istanbul Basaksehir Cam and Sakura City Hospital Istanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8209-217X","authenticated-orcid":false,"given":"Emirhan","family":"Hanc\u0131o\u011flu","sequence":"additional","affiliation":[{"name":"Cardiology Clinic Medipol Ac\u0131badem Regional Hospital Istanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1387-5191","authenticated-orcid":false,"given":"Ceyla Zeynep","family":"\u00c7olako\u011flu Gevher","sequence":"additional","affiliation":[{"name":"Cardiology Clinic Medipol Ac\u0131badem Regional Hospital Istanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0201-8314","authenticated-orcid":false,"given":"Sevgi","family":"\u00d6zcan","sequence":"additional","affiliation":[{"name":"Cardiology Clinic Istanbul Bagcilar Training and Research Hospital Istanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4484-4259","authenticated-orcid":false,"given":"Esra","family":"D\u00f6nmez","sequence":"additional","affiliation":[{"name":"Cardiology Clinic Istanbul Bagcilar Training and Research Hospital Istanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4032-7561","authenticated-orcid":false,"given":"Murat","family":"Ziyrek","sequence":"additional","affiliation":[{"name":"Cardiology Clinic Konya Farabi Hospital Konya Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,4,15]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(06)68770-9"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1038\/nm.2538"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1152\/physrev.00047.2009"},{"key":"e_1_2_10_5_1","first-page":"19","article-title":"[Relationship Between the Slow Coronary Flow and Carotid Artery Intima\u2010Media Thickness]","volume":"7","author":"Av\u015far O.","year":"2007","journal-title":"Anadolu kardiyoloji dergisi: AKD = the Anatolian Journal of Cardiology"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10439-014-1056-y"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.282.21.2035"},{"key":"e_1_2_10_8_1","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1098\/rspb.1971.0019","article-title":"Atheroma and Arterial Wall Shear\u2014Observation, Correlation and Proposal of a Shear Dependent Mass Transfer Mechanism for Atherogenesis","volume":"177","author":"Caro C. 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