The CTo-aBCDE score : a new predictor of success in chronic total occlusions
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2020 |
| Outros Autores: | , , , , , , , , , , , , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
| Texto Completo: | http://hdl.handle.net/10451/44729 |
Resumo: | © 2020 Sociedade Portuguesa de Cardiologia. Published by Elsevier España, S.L.U. This is an open access article under the CC-BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
| id |
RCAP_12a3dce2dcc307577e0951b26af35288 |
|---|---|
| oai_identifier_str |
oai:repositorio.ul.pt:10451/44729 |
| network_acronym_str |
RCAP |
| network_name_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
| repository_id_str |
7160 |
| spelling |
The CTo-aBCDE score : a new predictor of success in chronic total occlusionsScore CTo-aBCDE : um novo score preditor de sucesso nas CTOsIschemic heart diseasePercutaneous coronary interventionChronic total occlusionScore© 2020 Sociedade Portuguesa de Cardiologia. Published by Elsevier España, S.L.U. This is an open access article under the CC-BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).Introduction: Patient selection for percutaneous coronary intervention (PCI) in chronic total occlusions (CTOs) is crucial to procedural success. Our aim was to identify independent predictors of success in CTO PCI in order to create an accurate score. Methods: In a single-center observational registry of CTO PCI, demographic and clinical data and anatomical characteristics of coronary lesions were recorded. Linear and logistic regression analysis were used to identify predictors of success. A score to predict success was created and its accuracy was measured by receiver operating curve analysis. Results: A total of 377 interventions were performed (334 patients, age 68±11 years, 75% male). The success rate was 65% per patient and 60% per procedure. Predictors of success in univariate analysis were absence of active smoking (OR 2.02, 95% CI 1.243-3.29; p=0.005), presence of tapered stump (OR 5.2, 95% CI 2.7-10.2; p<0.001), absence of tortuosity (OR 6.44; 95% CI 3.02-13.75; p<0.001), absence of bifurcation (OR 1.95; 95% CI 1.08-3.51; p=0.026), absence of calcification (OR 3.1; 95% CI 3.10-5.41; p<0.001), LAD as target vessel (OR 1.9, 95% CI 1.0-3.5; p=0.048), and CTO length <20 mm (OR 3.00, 95% CI 1.69-5.3; p<0.001). Only anatomical factors were independent predictors of success, and an anatomical score (0-11 points) with high accuracy (area under the curve 0.831) was subsequently created. A score <3 was associated with low probability of success (15%), 3-8 with intermediate probability (55%), and >8 with high probability (95%). Conclusion: In our sample only anatomical characteristics were predictors of success. The creation of a score to predict success, with good accuracy, may enable selection of cases that can be treated by any operator, those in which a dedicated operator will be desirable, and those with an extremely low probability of success, which should be considered individually for conservative management, surgical revascularization or PCI by a team experienced in CTO.ElsevierRepositório da Universidade de LisboaRigueira, JoanaAguiar-Ricardo, InêsMenezes, Miguel NobreSantos, RafaelRodrigues, TiagoCunha, NelsonFrancisco, Ana RitaMarques da Costa, JoséCarrilho-Ferreira, PedroJorge, CláudiaOliveira, Eduardo Infante deDuarte, JoséTorres, DiogoPinto Cardoso, PedroPinto, Fausto J.Canas da Silva, Pedro2020-10-30T11:57:06Z20202020-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10451/44729engRev Port Cardiol. 2020; 39(10): 575-5820870-255110.1016/j.repc.2020.05.007info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-08T16:45:58Zoai:repositorio.ul.pt:10451/44729Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T21:57:15.200694Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
| dc.title.none.fl_str_mv |
The CTo-aBCDE score : a new predictor of success in chronic total occlusions Score CTo-aBCDE : um novo score preditor de sucesso nas CTOs |
| title |
The CTo-aBCDE score : a new predictor of success in chronic total occlusions |
| spellingShingle |
The CTo-aBCDE score : a new predictor of success in chronic total occlusions Rigueira, Joana Ischemic heart disease Percutaneous coronary intervention Chronic total occlusion Score |
| title_short |
The CTo-aBCDE score : a new predictor of success in chronic total occlusions |
| title_full |
The CTo-aBCDE score : a new predictor of success in chronic total occlusions |
| title_fullStr |
The CTo-aBCDE score : a new predictor of success in chronic total occlusions |
| title_full_unstemmed |
The CTo-aBCDE score : a new predictor of success in chronic total occlusions |
| title_sort |
The CTo-aBCDE score : a new predictor of success in chronic total occlusions |
| author |
Rigueira, Joana |
| author_facet |
Rigueira, Joana Aguiar-Ricardo, Inês Menezes, Miguel Nobre Santos, Rafael Rodrigues, Tiago Cunha, Nelson Francisco, Ana Rita Marques da Costa, José Carrilho-Ferreira, Pedro Jorge, Cláudia Oliveira, Eduardo Infante de Duarte, José Torres, Diogo Pinto Cardoso, Pedro Pinto, Fausto J. Canas da Silva, Pedro |
| author_role |
author |
| author2 |
Aguiar-Ricardo, Inês Menezes, Miguel Nobre Santos, Rafael Rodrigues, Tiago Cunha, Nelson Francisco, Ana Rita Marques da Costa, José Carrilho-Ferreira, Pedro Jorge, Cláudia Oliveira, Eduardo Infante de Duarte, José Torres, Diogo Pinto Cardoso, Pedro Pinto, Fausto J. Canas da Silva, Pedro |
| author2_role |
author author author author author author author author author author author author author author author |
| dc.contributor.none.fl_str_mv |
Repositório da Universidade de Lisboa |
| dc.contributor.author.fl_str_mv |
Rigueira, Joana Aguiar-Ricardo, Inês Menezes, Miguel Nobre Santos, Rafael Rodrigues, Tiago Cunha, Nelson Francisco, Ana Rita Marques da Costa, José Carrilho-Ferreira, Pedro Jorge, Cláudia Oliveira, Eduardo Infante de Duarte, José Torres, Diogo Pinto Cardoso, Pedro Pinto, Fausto J. Canas da Silva, Pedro |
| dc.subject.por.fl_str_mv |
Ischemic heart disease Percutaneous coronary intervention Chronic total occlusion Score |
| topic |
Ischemic heart disease Percutaneous coronary intervention Chronic total occlusion Score |
| description |
© 2020 Sociedade Portuguesa de Cardiologia. Published by Elsevier España, S.L.U. This is an open access article under the CC-BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
| publishDate |
2020 |
| dc.date.none.fl_str_mv |
2020-10-30T11:57:06Z 2020 2020-01-01T00:00:00Z |
| dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
| dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
| format |
article |
| status_str |
publishedVersion |
| dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10451/44729 |
| url |
http://hdl.handle.net/10451/44729 |
| dc.language.iso.fl_str_mv |
eng |
| language |
eng |
| dc.relation.none.fl_str_mv |
Rev Port Cardiol. 2020; 39(10): 575-582 0870-2551 10.1016/j.repc.2020.05.007 |
| dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
| eu_rights_str_mv |
openAccess |
| dc.format.none.fl_str_mv |
application/pdf |
| dc.publisher.none.fl_str_mv |
Elsevier |
| publisher.none.fl_str_mv |
Elsevier |
| dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
| instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
| instacron_str |
RCAAP |
| institution |
RCAAP |
| reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
| collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
| repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
| repository.mail.fl_str_mv |
|
| _version_ |
1799134516096270336 |