{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T01:19:20Z","timestamp":1790039960834,"version":"4.0.1"},"reference-count":17,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,6,3]],"date-time":"2025-06-03T00:00:00Z","timestamp":1748908800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,6,3]],"date-time":"2025-06-03T00:00:00Z","timestamp":1748908800000},"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":[[2025,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Anomalous aortic origin of a coronary artery (AAOCA) presents significant challenges during coronary angiography (CA), impacting procedural success rates. Although existing literature on AAOCA prevalence and risks, no study has quantified its specific impact on CA outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>This study aimed to evaluate AAOCA's effect on CA success and safety, focusing on catheterization success rates, procedural quality, radiation exposure, and iodine contrast usage.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a retrospective cohort study including 96 patients with confirmed AAOCA (AAOCA+) matched with 96 controls (AAOCA\u2212), based on single\u2010center data from 2011 to 2022. Key endpoints were selective catheterization success rate, injection quality, fluoroscopy time, radiation exposure, and the amount of contrast. Statistical analyses were performed using conditional logistic regressions and generalized estimating equations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Selective catheterization was significantly less successful in the AAOCA+ group compared to the AAOCA\u2212 group (28.1% vs. 90.6%; OR: 24.1, 95% CI: 10.3\u221262.6,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.0001). The AAOCA+ group also demonstrated lower injection quality (61.5% vs. 100%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.0001), longer fluoroscopy times (11.4\u2009\u00b1\u20090.8 vs. 5.9\u2009\u00b1\u20090.8\u2009min,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.0001), higher radiation exposure (310.8\u2009\u00b1\u200935.8 vs. 189.9\u2009\u00b1\u200936.4\u2009mGy,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.02), and greater iodine contrast usage (99.5\u2009\u00b1\u20096.7 vs. 61.2\u2009\u00b1\u20097.6\u2009mL,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.0001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>AAOCA significantly impacts the diagnostic catheterization success rate and increases the risk factors associated with CA. These findings highlight the need for specialized training and optimized protocols to improve outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ccd.31634","type":"journal-article","created":{"date-parts":[[2025,6,4]],"date-time":"2025-06-04T00:40:49Z","timestamp":1748997649000},"page":"1119-1128","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Impact of Anomalous Aortic Origin of Coronary Artery on Coronary Angiography: A Comparative Study"],"prefix":"10.1002","volume":"106","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-7221-9329","authenticated-orcid":false,"given":"Arnaud","family":"Brochier","sequence":"first","affiliation":[{"name":"North Site Cardiology Department University Hospital of La R\u00e9union Saint\u2010Denis France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sofien","family":"Zayed","sequence":"additional","affiliation":[{"name":"North Site Cardiology Department University Hospital of La R\u00e9union Saint\u2010Denis France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5628-1054","authenticated-orcid":false,"given":"Pierre","family":"Aubry","sequence":"additional","affiliation":[{"name":"Department of Cardiology Bichat Hospital Paris France"},{"name":"Department of Cardiology Centre Hospitalier Gonesse France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00e9r\u00f4me","family":"Corr\u00e9","sequence":"additional","affiliation":[{"name":"North Site Cardiology Department University Hospital of La R\u00e9union Saint\u2010Denis France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philippe","family":"Boiron","sequence":"additional","affiliation":[{"name":"North Site Cardiology Department University Hospital of La R\u00e9union Saint\u2010Denis France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adil","family":"Beeharry","sequence":"additional","affiliation":[{"name":"North Site Cardiology Department University Hospital of La R\u00e9union Saint\u2010Denis France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1502-0672","authenticated-orcid":false,"given":"Cyril","family":"Ferdynus","sequence":"additional","affiliation":[{"name":"Clinical Epidemiology and Clinical Trials Center INSERM 1410, University Hospital of La R\u00e9union Saint\u2010Denis France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Louis\u2010Marie","family":"Desroche","sequence":"additional","affiliation":[{"name":"North Site Cardiology Department University Hospital of La R\u00e9union Saint\u2010Denis France"},{"name":"Clinical Epidemiology and Clinical Trials Center INSERM 1410, University Hospital of La R\u00e9union Saint\u2010Denis France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,6,3]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.1810210110"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12872-015-0098-x"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-141-11-200412070-00005"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.106.618082"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/ha.2010.003244"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s44156-024-00041-4"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2021.01.054"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ihj.2014.05.029"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8183.2009.00463.x"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.5772\/27782"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12882-023-03194-2"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm13072066"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-003-1831-x"},{"key":"e_1_2_9_15_1","doi-asserted-by":"crossref","first-page":"1464","DOI":"10.12659\/MSM.893193","article-title":"Comparison of Safety of Radial and Femoral Approaches for Coronary Catheterization in Interventional Cardiology","volume":"21","author":"Samul W.","year":"2015","journal-title":"Medical Science Monitor: International Medical Journal of Experimental and Clinical Research"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2261-14-81"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/MCA.0000000000001385"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/2382120518803118"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.31634","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccd.31634","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.31634","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T06:04:37Z","timestamp":1771221877000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.31634"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,3]]},"references-count":17,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,8]]}},"alternative-id":["10.1002\/ccd.31634"],"URL":"https:\/\/doi.org\/10.1002\/ccd.31634","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6,3]]},"assertion":[{"value":"2025-01-19","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-05-17","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-06-03","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}