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Article ; Online: Value of different CTO scoring systems in predicting procedural success in coronary chronic total occlusion intervention in Egyptian patients.

AlAshry, Ahmed Mohammed Ali / Nagiub, Muhammed Nagy / Ismael, Magdy Farouk Ahmed / Alghonaimy, Wesam

The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology

2024  Volume 76, Issue 1, Page(s) 30

Abstract: Background: Chronic total occlusion (CTO) lesions in coronary arteries pose a significant challenge for coronary interventionists, often leading to referrals for coronary artery bypass graft surgery (CABG). Successful percutaneous coronary intervention ( ...

Abstract Background: Chronic total occlusion (CTO) lesions in coronary arteries pose a significant challenge for coronary interventionists, often leading to referrals for coronary artery bypass graft surgery (CABG). Successful percutaneous coronary intervention (PCI) for CTOs requires accurate assessment of procedural potential. This study, comprising 100 Egyptian patients aged 37-81, compares the predictive efficacy of various CTO scoring systems in PCI success determination. Patients with CTO in at least one coronary artery, planned for elective PCI based on objective evidence of ischemia, were included. Experienced operators performed PCI, recording procedural variables, and assessing complications. Logistic regression analysis revealed an inverse linear relationship between success rates and score values across all systems.
Results: Although, the predictive capacity of the scores was similar, with slight differences. The Euro CTO (CASTLE) score
Conclusion: The CASTLE score
Language English
Publishing date 2024-03-05
Publishing country Germany
Document type Journal Article
ISSN 2090-911X
ISSN (online) 2090-911X
DOI 10.1186/s43044-024-00458-6
Database MEDical Literature Analysis and Retrieval System OnLINE

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