Articles producció científica> Medicina i Cirurgia

J-chronic total occlusion score predictive capacity for percutaneous coronary intervention success of chronic total occlusion: Results from a European single center cohort with progressive experience over time

  • Identification data

    Identifier: imarina:9294520
    Handle: http://hdl.handle.net/20.500.11797/imarina9294520
  • Authors:

    Mohandes M
    Moreno C
    Rojas S
    Doblas V
    Fuertes M
    Fernández F
    Pernigotti A
    Guarinos J
    Camprubi M
    Bardají A
  • Others:

    Author, as appears in the article.: Mohandes M; Moreno C; Rojas S; Doblas V; Fuertes M; Fernández F; Pernigotti A; Guarinos J; Camprubi M; Bardají A
    Department: Medicina i Cirurgia
    URV's Author/s: Bardají Ruiz, Alfredo
    Keywords: Chronic total occlusion (cto) J-cto score Percutaneous coronary intervention
    Abstract: Background: Several scoring systems have been described to assess the level of difficulty and to predict the probability of success of percutaneous coronary intervention (PCI) of chronic total occlusion (CTO). The J-CTO score was initially developed to correlate CTO complexity with guidewire time crossing through the lesion within 30 min. Moreover, almost all scoring systems represent procedures performed by seasoned operators. Herein, this study sought to evaluate the predictive capacity of J-CTO for PCI success in a European single-center cohort with growing experience in the approach of CTO. Methods: Five hundred twenty-six procedures were performed between 2007 and 2020 mainly by a single operator. The predictive power of J-CTO score was assessed by area under the receiver-operator characteristic curve (ROC) in the entire cohort and additionally in two separate periods. The goodness-of-fit of the model was evaluated by the Hosmer and Lemeshow statistic. Results: Successful procedure in first-attempt PCI was 79.5% and the overall success including 47 repeated procedures was achieved in 85.8%. The retrograde approach was attempted in 14.4%. The score was inversely associated with procedural success with lower success rate in more difficult CTOs (p < 0.001). ROC curve for the entire cohort, and first block (case 1–200) and second block (case 201–526) was 0.696, 0.661 and 0.748, respectively. The model showed good calibration for the entire cohort (X2 = 1.7; p = 0.43). Conclusions: J-CTO score showed an acceptable predictive power for procedural success in this cohort although its discriminatory power is better as the level of experience is improved. (Cardiol J 2023; 30, 1: 59–67).
    Thematic Areas: Cardiac & cardiovascular systems Cardiology and cardiovascular medicine Ciências biológicas ii Educação física General medicine Interdisciplinar Medicina i Medicina ii Medicina iii Medicine (miscellaneous) Saúde coletiva
    licence for use: https://creativecommons.org/licenses/by/3.0/es/
    Author's mail: alfredo.bardaji@urv.cat
    Author identifier: 0000-0003-1900-6974
    Record's date: 2023-04-08
    Papper version: info:eu-repo/semantics/publishedVersion
    Link to the original source: https://journals.viamedica.pl/cardiology_journal/article/view/75564
    Papper original source: Cardiology Journal. 30 (1): 59-67
    APA: Mohandes M; Moreno C; Rojas S; Doblas V; Fuertes M; Fernández F; Pernigotti A; Guarinos J; Camprubi M; Bardají A (2023). J-chronic total occlusion score predictive capacity for percutaneous coronary intervention success of chronic total occlusion: Results from a European single center cohort with progressive experience over time. Cardiology Journal, 30(1), 59-67. DOI: 10.5603/CJ.a2021.0058
    Licence document URL: http://repositori.urv.cat/ca/proteccio-de-dades/
    Article's DOI: 10.5603/CJ.a2021.0058
    Entity: Universitat Rovira i Virgili
    Journal publication year: 2023
    Publication Type: Journal Publications
  • Keywords:

    Cardiac & Cardiovascular Systems,Cardiology and Cardiovascular Medicine,Medicine (Miscellaneous)
    Chronic total occlusion (cto)
    J-cto score
    Percutaneous coronary intervention
    Cardiac & cardiovascular systems
    Cardiology and cardiovascular medicine
    Ciências biológicas ii
    Educação física
    General medicine
    Interdisciplinar
    Medicina i
    Medicina ii
    Medicina iii
    Medicine (miscellaneous)
    Saúde coletiva
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