Visually Estimated RESOLVE Score Based on Coronary Computed Tomography to Predict Side Branch Occlusion in Percutaneous Bifurcation Intervention
| Autor: | Anna M. Michalowska, Mariusz Debski, Jerzy Pręgowski, Kajetan Grodecki, Ilona Michałowska, Adam D. Staruch, Maksymilian P. Opolski, Artur Debski, Cezary Kępka, Rafał Wolny, Adam Witkowski, Mariusz Kruk |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Percutaneous Computed Tomography Angiography medicine.medical_treatment Concordance Coronary Artery Disease 030204 cardiovascular system & hematology Coronary Angiography 030218 nuclear medicine & medical imaging 03 medical and health sciences Percutaneous Coronary Intervention 0302 clinical medicine Internal medicine Occlusion medicine Humans Radiology Nuclear Medicine and imaging cardiovascular diseases Myocardial infarction Bifurcation Receiver operating characteristic business.industry Coronary Stenosis Thrombolysis medicine.disease Coronary Vessels Treatment Outcome Coronary Occlusion Quartile Cardiology Stents business |
| Zdroj: | Journal of Thoracic Imaging. 36:189-196 |
| ISSN: | 0883-5993 |
| Popis: | Purpose The quantitative RESOLVE (Risk prEdiction of Side branch OccLusion in coronary bifurcation interVEntion) score derived from coronary computed tomography angiography (coronary CTA) was developed as a noninvasive and accurate prediction tool for side branch (SB) occlusion in coronary bifurcation intervention. We aimed to determine the ability of a visually estimated CTA-derived RESOLVE score (V-RESOLVE score) to predict SB occlusion in coronary bifurcation intervention. Materials and methods The present study included 363 patients with 400 bifurcation lesions. CTA-derived V-RESOLVE score was derived and compared with the quantitative CTA-derived RESOLVE score. The scoring systems were divided into quartiles, and classified as the high-risk and non-high-risk groups. SB occlusion was defined as any decrease in thrombolysis in myocardial infarction flow grade after main vessel stenting. Results In total, 28 SB occlusions (7%) occurred. The concordance between visual and quantitative CTA analysis showed poor to excellent agreement (weighted κ range: 0.099 to 0.867). The area under the receiver operating curve for the prediction of SB occlusion was significantly higher for the CTA-derived V-RESOLVE score than for quantitative CTA-derived RESOLVE score (0.792 vs. 0.709, P=0.049). The total net reclassification index was 42.7% (P=0.006), and CTA-derived V-RESOLVE score showed similar capability to discriminate between high-risk group (18.6% vs. 13.8%, P=0.384) and non-high-risk group (3.8% vs. 4.9%, P=0.510) as compared with quantitative CTA-derived RESOLVE score. Conclusions Visually estimated CTA-derived V-RESOLVE score is an accurate and easy-to-use prediction tool for the stratification of SB occlusion in coronary bifurcation intervention. |
| Databáze: | OpenAIRE |
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