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
    Authors:
    Mohandes, MMoreno, CRojas, SDoblas, VFuertes, MFernández, FPernigotti, AGuarinos, JCamprubi, MBardají, A
    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).
  • 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 / Camprubí Potau, Mercè / FERNÁNDEZ SILVA, FABIOLA VANESSA / Mohandes Yusefian, Mohsen / MORENO GARCIA, CARLOS FRANCISCO
    Keywords: Percutaneous coronary intervention Multicenter cto registry J-cto score Chronic total occlusion (cto) validation system recanalization outcomes j-cto score chronic total occlusion (cto)
    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: Saúde coletiva Medicine (miscellaneous) Medicina iii Medicina ii Medicina i Interdisciplinar General medicine Educação física Ciências biológicas ii Cardiology and cardiovascular medicine Cardiac & cardiovascular systems
    licence for use: https://creativecommons.org/licenses/by/3.0/es/
    Author's mail: mohsen.mohandes@urv.cat mohsen.mohandes@urv.cat alfredo.bardaji@urv.cat
    Author identifier: 0000-0003-1045-3639 0000-0003-1045-3639 0000-0003-1900-6974
    Record's date: 2024-08-03
    Papper version: info:eu-repo/semantics/publishedVersion
    Link to the original source: https://journals.viamedica.pl/cardiology_journal/article/view/75564
    Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
    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
    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)
    Percutaneous coronary intervention
    Multicenter cto registry
    J-cto score
    Chronic total occlusion (cto)
    validation
    system
    recanalization
    outcomes
    j-cto score
    chronic total occlusion (cto)
    Saúde coletiva
    Medicine (miscellaneous)
    Medicina iii
    Medicina ii
    Medicina i
    Interdisciplinar
    General medicine
    Educação física
    Ciências biológicas ii
    Cardiology and cardiovascular medicine
    Cardiac & cardiovascular systems
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