1. Successful guidewire crossing via collateral channel at retrograde percutaneous coronary intervention for chronic total occlusion: the J-Channel score
- Author
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Makoto Muto, Osamu Katoh, Satoru Sumitsuji, Etsuo Tsuchikane, Yasumi Igarashi, Wataru Nagamatsu, Ryohei Yoshikawa, Hisayuki Okada, and Yuji Oikawa
- Subjects
medicine.medical_specialty ,Multivariate analysis ,Computed Tomography Angiography ,medicine.medical_treatment ,030204 cardiovascular system & hematology ,Coronary Angiography ,03 medical and health sciences ,Percutaneous Coronary Intervention ,0302 clinical medicine ,Text mining ,Predictive Value of Tests ,Risk Factors ,Internal medicine ,medicine ,Humans ,Registries ,030212 general & internal medicine ,Derivation ,Computed tomography angiography ,Receiver operating characteristic ,medicine.diagnostic_test ,business.industry ,Percutaneous coronary intervention ,Treatment Outcome ,Coronary Occlusion ,Area Under Curve ,Predictive value of tests ,Chronic Disease ,Conventional PCI ,Cardiology ,Cardiology and Cardiovascular Medicine ,business - Abstract
Aims Guidewire (GW) tracking in a collateral channel (CC) is an important step during retrograde chronic total occlusion (CTO) percutaneous coronary intervention (PCI). The aim of this study was to create a prediction score model for CC GW crossing success. Methods and results We analysed data on 886 CCs included in the Japanese CTO PCI Expert Registry during 2016. CCs were categorised as septal (n=610) and non-septal (n=276). CCs were randomly assigned to derivation and validation sets in a 2:1 ratio. The score was developed by multivariate analysis with angiographic findings. Small vessel, reverse bend, and continuous bends were independent predictors in the septal CC subset. Small vessel, reverse bend, and corkscrew were independent predictors in the non-septal CC subset. The extent of intervention was easy, intermediate, and difficult in 92.9%, 57.4%, and 16.7% in the septal CC subset and 91.7%, 54.3%, and 19.0% in the non-septal CC subset, respectively, in the validation set. The area under the receiver operating characteristic curve was >0.7 in the derivation and validation sets of both CC subsets. Conclusions The prediction score model can suggest grading of the difficulty of CC GW crossing based on angiographic findings for each type of CC. more...
- Published
- 2020
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