Value of different CTO scoring systems in predicting procedural success in coronary chronic total occlusion intervention in Egyptian patients
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 assess...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2024-03-01
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| Series: | The Egyptian Heart Journal |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s43044-024-00458-6 |
| _version_ | 1797274194194464768 |
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| author | Ahmed Mohammed Ali AlAshry Muhammed Nagy Nagiub Magdy Farouk Ahmed Ismael Wesam Alghonaimy |
| author_facet | Ahmed Mohammed Ali AlAshry Muhammed Nagy Nagiub Magdy Farouk Ahmed Ismael Wesam Alghonaimy |
| author_sort | Ahmed Mohammed Ali AlAshry |
| collection | DOAJ |
| description | 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) score10 exhibited superior predictive efficacy, followed by the CL score9, while PROGRESS8 and J-CTO7 scores showed lower significance. ORA CTO11 score demonstrated intermediate predictive ability, and PROGRESS score8 had the least predictive value. Conclusion The CASTLE score10 proved most effective in predicting PCI success for CTO cases in Egyptian patients, with operators advised to choose scoring systems based on experience and case characteristics. Proper planning remains crucial for optimizing success rates in CTO PCI procedures, irrespective of the scoring system employed. |
| first_indexed | 2024-03-07T14:54:53Z |
| format | Article |
| id | doaj.art-ca9d5657548546d5a5011e095b0e7cd2 |
| institution | Directory Open Access Journal |
| issn | 2090-911X |
| language | English |
| last_indexed | 2024-03-07T14:54:53Z |
| publishDate | 2024-03-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Heart Journal |
| spelling | doaj.art-ca9d5657548546d5a5011e095b0e7cd22024-03-05T19:29:10ZengSpringerOpenThe Egyptian Heart Journal2090-911X2024-03-0176111010.1186/s43044-024-00458-6Value of different CTO scoring systems in predicting procedural success in coronary chronic total occlusion intervention in Egyptian patientsAhmed Mohammed Ali AlAshry0Muhammed Nagy Nagiub1Magdy Farouk Ahmed Ismael2Wesam Alghonaimy3Cardiology Department, Faculty of Medicine, Cairo UniversityCardiology Department, Faculty of Medicine, Helwan UniversityCardiology Department, Faculty of Medicine, Helwan UniversityCardiology Department, Faculty of Medicine, Helwan UniversityAbstract 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) score10 exhibited superior predictive efficacy, followed by the CL score9, while PROGRESS8 and J-CTO7 scores showed lower significance. ORA CTO11 score demonstrated intermediate predictive ability, and PROGRESS score8 had the least predictive value. Conclusion The CASTLE score10 proved most effective in predicting PCI success for CTO cases in Egyptian patients, with operators advised to choose scoring systems based on experience and case characteristics. Proper planning remains crucial for optimizing success rates in CTO PCI procedures, irrespective of the scoring system employed.https://doi.org/10.1186/s43044-024-00458-6Chronic total occlusion (CTO)Percutaneous coronary intervention (PCI)CTO scoring systemsEgyptian patients |
| spellingShingle | Ahmed Mohammed Ali AlAshry Muhammed Nagy Nagiub Magdy Farouk Ahmed Ismael Wesam Alghonaimy Value of different CTO scoring systems in predicting procedural success in coronary chronic total occlusion intervention in Egyptian patients The Egyptian Heart Journal Chronic total occlusion (CTO) Percutaneous coronary intervention (PCI) CTO scoring systems Egyptian patients |
| title | Value of different CTO scoring systems in predicting procedural success in coronary chronic total occlusion intervention in Egyptian patients |
| title_full | Value of different CTO scoring systems in predicting procedural success in coronary chronic total occlusion intervention in Egyptian patients |
| title_fullStr | Value of different CTO scoring systems in predicting procedural success in coronary chronic total occlusion intervention in Egyptian patients |
| title_full_unstemmed | Value of different CTO scoring systems in predicting procedural success in coronary chronic total occlusion intervention in Egyptian patients |
| title_short | Value of different CTO scoring systems in predicting procedural success in coronary chronic total occlusion intervention in Egyptian patients |
| title_sort | value of different cto scoring systems in predicting procedural success in coronary chronic total occlusion intervention in egyptian patients |
| topic | Chronic total occlusion (CTO) Percutaneous coronary intervention (PCI) CTO scoring systems Egyptian patients |
| url | https://doi.org/10.1186/s43044-024-00458-6 |
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