Research Article

A Novel Clinical Scoring Model for Interventional Therapy in Chronic Total Occlusion of the Coronary Artery

Table 7

Comparison of different CTO operators.

I group
(<5, <60)
II group
(<5, ≥60)
III group
(≥5, <60)
IV group
(<90%)
V group
(≥90%)
F/χ2

CTO-PCI numberN = 5N = 6N = 13N = 75N = 45
Age (years)67.00 ± 6.7860.83 ± 9.8959.62 ± 14.2262.23 ± 11.7262.44 ± 10.790.410.80
Male3 (60.0%)3 (50.0%)12 (92.3%)57 (76.0%)41 (91.1%)5.220.07
BMI (kg/m2)24.78 ± 2.6723.61 ± 2.9224.43 ± 3.6225.31 ± 2.2125.09 ± 2.531.730.62
Hypertension4 (80.0%)3 (50.0%)8 (61.5%)57 (76.0%)31 (68.9%)1.850.40
Hyperlipidemia3 (60.0%)5 (83.3%)11 (84.6%)39 (52.0%)23 (51.1%)6.160.05
Impaired glucose tolerance2 (40.0%)03 (23.1%)30 (40.0%)17 (37.8%)2.970.23
Smoking0013 (100.0%)35 (46.7%)22 (48.9%)0.410.81
Previous PCI history1 (20.0%)5 (83.3%)3 (23.1%)31 (41.3%)26 (57.8%)3.870.14
Previous CABG history0001(1.3%)01.310.52
Previous MI history2 (40.0%)1 (16.7%)6 (46.2%)23 (30.7%)13 (28.9%)0.570.75
≥NYHA III2 (40.0%)06 (46.2%)26 (34.7%)17 (37.8%)0.170.92
≥CKD III1 (20.0%)1 (16.7%)05 (6.7%)7 (15.6%)2.450.29
Acute coronary syndrome5 (100.0%)4 (66.7%)13 (100.0%)69 (92.0%)39 (86.7%)0.930.63
LVEF<40%01 (16.7%)2 (15.4%)6 (8.0%)4 (8.9%)0.420.81
Angiographic features
CTO target vessel1.900.49
LAD3 (60.0%)3 (50.0%)5 (38.5%)29 (38.7%)21 (46.7%)
LCX002 (15.4%)6 (8.0%)6 (13.3%)
RCA2 (40.0%)3 (50.0%)6 (46.2%)39 (52.0%)18 (40.0%)
LM0001 (1.3%)0
Collateral circulation, Rentrop<22 (40.0%)1 (16.7%)4 (30.8%)23 (30.7%)16 (13.3%)0.410.86
Blunt occlusion3 (60.0%)3 (50.0%)7 (53.8%)36 (48.0%)34 (75.6%)8.890.01
Calcification1 (20.0%)04 (30.8%)25 (33.3%)27 (60.0%)12.33<0.01
Curvature4 (80.0%)5 (83.3%)12 (92.3%)68 (90.7%)42 (93.3%)0.820.63
Occlusion length ≥20 mm3 (60.0%)6 (100.0%)12 (92.3%)66 (90.7%)40 (88.9%)0.350.98
Distal occlusion2 (40.0%)2 (33.3%)6 (46.2%)38 (50.7%)30 (66.7%)4.710.10
Initial occlusion3 (60.0%)3 (50.0%)6 (46.2%)34 (45.3%)23 (51.1%)4.260.81
In-stent occlusion1 (20.0%)0011 (14.7%)8 (17.8%)3.080.21
J-CTO score2.20 ± 0.842.33 ± 1.033.08 ± 1.193.03 ± 0.923.42 ± 0.873.67<0.01
PROGRESS score1.20 ± 0.840.67 ± 0.821.23 ± 1.091.23 ± 0.971.60 ± 0.861.960.10
ORA score1.40 ± 0.551.00 ± 1.551.23 ± 0.831.27 ± 1.121.42 ± 1.100.290.88
Recharge score2.60 ± 1.142.67 ± 1.213.15 ± 0.993.12 ± 0.943.6 ± 1.032.80<0.05
Operator score3.80 ± 0.842.33 ± 1.862.77 ± 1.302.03 ± 1.160.73 ± 1.3214.21<0.01
PCI features
Forward single-guidewire technology1 (20.0%)5 (83.3%)12 (92.3%)53 (70.7%)23 (51.1%)5.950.05
Forward double-guidewire technology1 (20.0%)1 (16.7%)1 (7.7%)15 (20.0%)20 (44.4%)11.51<0.01
Intravascular ultrasound guidance/exploration1 (20.0%)1 (16.7%)2 (15.4%)13 (17.3%)19 (42.2%)10.36<0.01
Intervention strategy conversion1 (20.0%)04 (30.8%)24 (32.0%)19 (42.2%)3.350.19
7F guide tube3 (20.0%)4 (66.7%)10 (76.9%)43 (57.3%)29 (64.4%)1.600.45
X-ray fluoroscopy time78.50 ± 27.5873.80 ± 26.7378.46 ± 11.9167.35 ± 17.6663.37 ± 17.4510.12<0.05
Dosage of the contrast agent215.00 ± 91.92192.00 ± 55.41197.69 ± 42.65178.68 ± 44.25172.21 ± 40.514.530.34
CTO-PCI technical success40.0%83.3%100%90.7%95.6%100.25<0.01
CTO-PCI procedural success40.0%83.3%100%89.3%91.1%141.29<0.01