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Journal of Cardiovascular Translational Research

Erschienen in:

01.08.2022 | Original Article

Predicting the Success Rate of Elective Percutaneous Coronary Intervention for Prior Failed Chronic Total Occlusion: a Novel Scoring System

verfasst von: Wenzheng Li, Zheng Wu, Hongyu Peng, Donghui Zhao, Ze Zheng, Bing Tian, Shiying Li, Shujuan Cheng, Jinghua Liu

Erschienen in: Journal of Cardiovascular Translational Research | Ausgabe 4/2022

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Abstract

To investigate a scoring system for predicting the risk of successful percutaneous coronary intervention (PCI) after prior failed chronic total occlusion (CTO). Patients with previously attempted CTO-PCI were enrolled in our study retrospectively from January 2016 to December 2019. All clinical and procedural data were collected and analyzed. Univariate and multivariate logistic regression was performed to investigate the predictors of technical success. A total of 194 patients/CTO lesions were studied. The multivariate logistic regression showed that occlusion length < 20 mm (odds ratio (OR) = 2.94, score = 1), non-calcification (OR = 2.93, score = 1), adequate distal landing zone (OR = 4.46, score = 1), Rentrop grade ≥ 2 (OR = 5.98, score = 1), and retrograde approach as the initial strategy (OR = 10.28, score = 2) were predictors of the success of re-attempt PCI. The technical success rate for scores from 0 to ≥ 4 were 0%, 17.9%, 46.2%, 77.8%, and 93.3% respectively. Our scoring system can be used to predict the success rate of re-attempt CTO-PCI.

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Titel: Predicting the Success Rate of Elective Percutaneous Coronary Intervention for Prior Failed Chronic Total Occlusion: a Novel Scoring System
verfasst von: Wenzheng Li
Zheng Wu
Hongyu Peng
Donghui Zhao
Ze Zheng
Bing Tian
Shiying Li
Shujuan Cheng
Jinghua Liu
Publikationsdatum: 01.08.2022
Verlag: Springer US
Erschienen in: Journal of Cardiovascular Translational Research / Ausgabe 4/2022
Print ISSN: 1937-5387
Elektronische ISSN: 1937-5395
DOI: https://doi.org/10.1007/s12265-021-10193-x

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