"Comparison of various scores for predicting success of chronic total o" by Aris Karatasakis, Barbara A. Danek et al.
 

Comparison of various scores for predicting success of chronic total occlusion percutaneous coronary intervention

Document Type

Article

Publication Date

12-1-2016

Publication Title

International journal of cardiology

Abstract

BACKGROUND: Various scoring systems have been developed to predict the technical outcome and procedural efficiency of chronic total occlusion (CTO) percutaneous coronary intervention (PCI).

METHODS: We examined the predictive capacity of 3 CTO PCI scores (Clinical and Lesion-related [CL], Multicenter CTO registry in Japan [J-CTO] and Prospective Global Registry for the Study of Chronic Total Occlusion Intervention [PROGRESS CTO] scores) in 664 CTO PCIs performed between 2012 and 2016 at 13 US centers.

RESULTS: Technical success was 88% and the retrograde approach was utilized in 41%. Mean CL, J-CTO and PROGRESS CTO scores were 3.9±1.9, 2.6±1.2 and 1.4±1.0, respectively. All scores were inversely associated with technical success (p

CONCLUSIONS: CL, J-CTO and PROGRESS CTO scores perform moderately in predicting technical outcome of CTO PCI, with better performance for antegrade-only procedures. All scores correlate with procedure time and fluoroscopy dose, and the CL score also correlates with contrast utilization.

Medical Subject Headings

Aged; Coronary Angiography; Coronary Occlusion; Female; Humans; Male; Middle Aged; Percutaneous Coronary Intervention; Predictive Value of Tests; Prospective Studies; Severity of Illness Index; Treatment Outcome

PubMed ID

27611917

Volume

224

First Page

50

Last Page

56

Share

COinS