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Towards a contemporary, comprehensive scoring system for determining technical outcomes of hybrid percutaneous chronic total occlusion treatment: The RECHARGE score.

Identifieur interne : 000C90 ( PubMed/Curation ); précédent : 000C89; suivant : 000C91

Towards a contemporary, comprehensive scoring system for determining technical outcomes of hybrid percutaneous chronic total occlusion treatment: The RECHARGE score.

Auteurs : Joren Maeremans [Belgique] ; James C. Spratt [Royaume-Uni] ; Paul Knaapen [Pays-Bas] ; Simon Walsh [Royaume-Uni] ; Pierfrancesco Agostoni [Pays-Bas] ; William Wilson [Australie] ; Alexandre Avran [France] ; Benjamin Faurie [France] ; Erwan Bressollette [France] ; Peter Kayaert [Belgique] ; Alan J. Bagnall [Royaume-Uni] ; Dave Smith [Royaume-Uni] ; Margaret B. Mcentegart [Royaume-Uni] ; William H T. Smith [Royaume-Uni] ; Paul Kelly [Royaume-Uni] ; John Irving [Royaume-Uni] ; Elliot J. Smith [Royaume-Uni] ; Julian W. Strange [Royaume-Uni] ; Jo Dens [Belgique]

Source :

RBID : pubmed:28471074

Abstract

This study sought to create a contemporary scoring tool to predict technical outcomes of chronic total occlusion (CTO) percutaneous coronary intervention (PCI) from patients treated by hybrid operators with differing experience levels.

DOI: 10.1002/ccd.27092
PubMed: 28471074

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Le document en format XML

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<nlm:affiliation>Department of Cardiology, Nouvelles Cliniques Nantaises, Nantes, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
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<name sortKey="Kayaert, Peter" sort="Kayaert, Peter" uniqKey="Kayaert P" first="Peter" last="Kayaert">Peter Kayaert</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Cardiology, Universitair Ziekenhuis Brussel, Brussels, Belgium.</nlm:affiliation>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea>Department of Cardiology, Universitair Ziekenhuis Brussel, Brussels</wicri:regionArea>
</affiliation>
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<name sortKey="Bagnall, Alan J" sort="Bagnall, Alan J" uniqKey="Bagnall A" first="Alan J" last="Bagnall">Alan J. Bagnall</name>
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<nlm:affiliation>Department of Cardiology, Freeman Hospital, Newcastle upon Tyne, United Kingdom.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Cardiology, Freeman Hospital, Newcastle upon Tyne</wicri:regionArea>
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<name sortKey="Smith, Dave" sort="Smith, Dave" uniqKey="Smith D" first="Dave" last="Smith">Dave Smith</name>
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<nlm:affiliation>Department of Cardiology, Morriston Hospital, Swansea, United Kingdom.</nlm:affiliation>
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<name sortKey="Mcentegart, Margaret B" sort="Mcentegart, Margaret B" uniqKey="Mcentegart M" first="Margaret B" last="Mcentegart">Margaret B. Mcentegart</name>
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<nlm:affiliation>Department of Cardiology, Golden Jubilee National Hospital, Glasgow, United Kingdom.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Cardiology, Golden Jubilee National Hospital, Glasgow</wicri:regionArea>
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<name sortKey="Smith, William H T" sort="Smith, William H T" uniqKey="Smith W" first="William H T" last="Smith">William H T. Smith</name>
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<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Cardiology, Nottingham University Hospital, Nottingham</wicri:regionArea>
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<name sortKey="Kelly, Paul" sort="Kelly, Paul" uniqKey="Kelly P" first="Paul" last="Kelly">Paul Kelly</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Cardiology, Essex Cardio-thoracic Centre, Basildon Hospital, Essex, United Kingdom.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Cardiology, Essex Cardio-thoracic Centre, Basildon Hospital, Essex</wicri:regionArea>
</affiliation>
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<name sortKey="Irving, John" sort="Irving, John" uniqKey="Irving J" first="John" last="Irving">John Irving</name>
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<nlm:affiliation>Department of Cardiology, Ninewells Hospital, Dundee, United Kingdom.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Cardiology, Ninewells Hospital, Dundee</wicri:regionArea>
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<name sortKey="Smith, Elliot J" sort="Smith, Elliot J" uniqKey="Smith E" first="Elliot J" last="Smith">Elliot J. Smith</name>
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<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Cardiology, Barts Heart Centre, Barts Health NHS Trust, London</wicri:regionArea>
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<name sortKey="Strange, Julian W" sort="Strange, Julian W" uniqKey="Strange J" first="Julian W" last="Strange">Julian W. Strange</name>
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<wicri:regionArea>Department of Cardiology, Bristol Heart Institute, Bristol</wicri:regionArea>
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<name sortKey="Dens, Jo" sort="Dens, Jo" uniqKey="Dens J" first="Jo" last="Dens">Jo Dens</name>
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<nlm:affiliation>Faculty of Medicine and Life Sciences, Universiteit Hasselt, Hasselt, Belgium.</nlm:affiliation>
<country xml:lang="fr">Belgique</country>
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<title level="j">Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions</title>
<idno type="eISSN">1522-726X</idno>
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<date when="2017" type="published">2017</date>
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<div type="abstract" xml:lang="en">This study sought to create a contemporary scoring tool to predict technical outcomes of chronic total occlusion (CTO) percutaneous coronary intervention (PCI) from patients treated by hybrid operators with differing experience levels.</div>
</front>
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<PMID Version="1">28471074</PMID>
<DateCreated>
<Year>2017</Year>
<Month>05</Month>
<Day>04</Day>
</DateCreated>
<DateRevised>
<Year>2017</Year>
<Month>05</Month>
<Day>04</Day>
</DateRevised>
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<Journal>
<ISSN IssnType="Electronic">1522-726X</ISSN>
<JournalIssue CitedMedium="Internet">
<PubDate>
<Year>2017</Year>
<Month>May</Month>
<Day>04</Day>
</PubDate>
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<Title>Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions</Title>
<ISOAbbreviation>Catheter Cardiovasc Interv</ISOAbbreviation>
</Journal>
<ArticleTitle>Towards a contemporary, comprehensive scoring system for determining technical outcomes of hybrid percutaneous chronic total occlusion treatment: The RECHARGE score.</ArticleTitle>
<ELocationID EIdType="doi" ValidYN="Y">10.1002/ccd.27092</ELocationID>
<Abstract>
<AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">This study sought to create a contemporary scoring tool to predict technical outcomes of chronic total occlusion (CTO) percutaneous coronary intervention (PCI) from patients treated by hybrid operators with differing experience levels.</AbstractText>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Current scoring systems need regular updating to cope with the positive evolutions regarding materials, techniques, and outcomes, while at the same time being applicable for a broad range of operators.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Clinical and angiographic characteristics from 880 CTO-PCIs included in the REgistry of CrossBoss and Hybrid procedures in FrAnce, the NetheRlands, BelGium and UnitEd Kingdom (RECHARGE) were analyzed by using a derivation and validation set (2:1 ratio). Variables significantly associated with technical failure in the multivariable analysis were incorporated in the score. Subsequently, the discriminatory capacity was assessed and the validation set was used to compare with the J-CTO score and PROGRESS scores.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Technical success in the derivation and validation sets was 83% and 85%, respectively. Multivariate analysis identified six parameters associated with technical failure: blunt stump (beta coefficient (b) = 1.014); calcification (b = 0.908); tortuosity ≥45° (b = 0.964); lesion length 20 mm (b = 0.556); diseased distal landing zone (b = 0.794), and previous bypass graft on CTO vessel (b = 0.833). Score variables remained significant after bootstrapping. The RECHARGE score showed better discriminatory capacity in both sets (area-under-the-curve (AUC) = 0.783 and 0.711), compared to the J-CTO (AUC = 0.676) and PROGRESS (AUC = 0.608) scores.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The RECHARGE score is a novel, easy-to-use tool for assessing the risk for technical failure in hybrid CTO-PCI and has the potential to perform well for a broad community of operators. © 2017 Wiley Periodicals, Inc.</AbstractText>
<CopyrightInformation>© 2017 Wiley Periodicals, Inc.</CopyrightInformation>
</Abstract>
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<LastName>Maeremans</LastName>
<ForeName>Joren</ForeName>
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<Affiliation>Faculty of Medicine and Life Sciences, Universiteit Hasselt, Hasselt, Belgium.</Affiliation>
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<Affiliation>Department of Cardiology, Ziekenhuis Oost-Limburg, Genk, Belgium.</Affiliation>
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<LastName>Spratt</LastName>
<ForeName>James C</ForeName>
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<Affiliation>Department of Cardiology, Forth Valley Royal Hospital, Edinburgh, United Kingdom.</Affiliation>
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