单位:[1]Department of Cardiology, Beijing Anzhen Hospital, Capital Medical University and Beijing Institute of Heart Lung and Blood Vessel Disease, Beijing, China.首都医科大学附属安贞医院[2]Department of Radiology, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.首都医科大学附属安贞医院[3]Division of Cardiovascular Imaging, Department of Radiology and Radiological Science, Medical University of South Carolina, Charleston, SC, USA.[4]Departement of Cardiology and Intensive Care Medicine, Heart Center Munich-Bogenhausen, Munich, Germany.[5]Departement of Cardiology, Medical University of South Carolina, Charleston, SC, USA.[6]Department of Cardiology, Beijing Friendship Hospital, Capital Medical University, Beijing, China.临床科室心血管中心心内科首都医科大学附属北京友谊医院
Objective: To investigate the feasibility and the accuracy of the coronary CT angiography (CCTA)-derived Registry of Crossboss and Hybrid procedures in France, the Netherlands, Belgium and United Kingdom (RECHARGE) score (RECHARGE(CCTA)) for the prediction of procedural success and 30-minutes guidewire crossing in percutaneous coronary intervention (PCI) for chronic total occlusion (CTO). Materials and Methods: One hundred and twenty-four consecutive patients (mean age, 54 years; 79% male) with 131 CTO lesions who underwent CCTA before catheter angiography (CA) with CTO-PCI were retrospectively enrolled in this study. The RECHARGE(CCTA) scores were calculated and compared with RECHARGE(CA) and other CTA-based prediction scores, including Multicenter CTO Registry of Japan (J-CTO), CT Registry of CTO Revascularisation (CT-RECTOR), and Korean Multicenter CTO CT Registry (KCCT) scores. Results: The procedural success rate of the CTO-PCI procedures was 72%, and 61% of cases achieved the 30-minutes wire crossing. No significant difference was observed between the RECHARGE(CCTA) score and the RECHARGE(CA) score for procedural success (median 2 vs. median 2, p = 0.084). However, the RECHARGE(CCTA) score was higher than the RECHARGE(CA) score for the 30-minutes wire crossing (median 2 vs. median 1.5, p = 0.001). The areas under the curve (AUCs) of the RECHARGE(CCTA) and RECHARGE(CA) scores for predicting procedural success showed no statistical significance (0.718 vs. 0.757, p = 0.655). The sensitivity, specificity, positive predictive value, and the negative predictive value of the RECHARGE(CCTA) scores of <= 2 for predictive procedural success were 78%, 60%, 43%, and 87%, respectively. The RECHARGE(CCTA) score showed a discriminative performance that was comparable to those of the other CTA-based prediction scores (AUC = 0.718 vs. 0.665-0.717, all p > 0.05). Conclusion: The non-invasive RECHARGE(CCTA) score performs better than the invasive determination for the prediction of the 30-minutes wire crossing of CTO-PCI. However, the RECHARGE(CCTA) score may not replace other CTA-based prediction scores for predicting CTO-PCI success.
基金:
Beijing Municipal Administration of Hospital Youth Program [QML20160606]; Beijing Municipal Science and Technology Project [Z161100000516139]; Beijing Lab for Cardiovascular Precision medicine, Beijing [2017-CCA-VG-046]; China Cardiovascular Disease Alliance VG Youth Fund Project [2017-CCA-VG-046]; Capital Health Development Research Project [2018-2-2063]
第一作者单位:[1]Department of Cardiology, Beijing Anzhen Hospital, Capital Medical University and Beijing Institute of Heart Lung and Blood Vessel Disease, Beijing, China.
共同第一作者:
通讯作者:
通讯机构:[1]Department of Cardiology, Beijing Anzhen Hospital, Capital Medical University and Beijing Institute of Heart Lung and Blood Vessel Disease, Beijing, China.[*1]Department of Cardiology, Beijing Anzhen Hospital, Capital Medical University and Beijing Institute of Heart Lung and Blood Vessel Disease, No. 2, Anzhen Rd, Chaoyang District, Beijing 100029, China.
推荐引用方式(GB/T 7714):
Li Jiahui,Wang Rui,Tesche Christian,et al.CT Angiography-Derived RECHARGE Score Predicts Successful Percutaneous Coronary Intervention in Patients with Chronic Total Occlusion[J].KOREAN JOURNAL of RADIOLOGY.2021,22(5):697-705.doi:10.3348/kjr.2020.0732.
APA:
Li Jiahui,Wang Rui,Tesche Christian,Schoepf U Joseph,Pannell Jonathan T...&Song Xiantao.(2021).CT Angiography-Derived RECHARGE Score Predicts Successful Percutaneous Coronary Intervention in Patients with Chronic Total Occlusion.KOREAN JOURNAL of RADIOLOGY,22,(5)
MLA:
Li Jiahui,et al."CT Angiography-Derived RECHARGE Score Predicts Successful Percutaneous Coronary Intervention in Patients with Chronic Total Occlusion".KOREAN JOURNAL of RADIOLOGY 22..5(2021):697-705