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 number | N = 5 | N = 6 | N = 13 | N = 75 | N = 45 | | | Age (years) | 67.00 ± 6.78 | 60.83 ± 9.89 | 59.62 ± 14.22 | 62.23 ± 11.72 | 62.44 ± 10.79 | 0.41 | 0.80 | Male | 3 (60.0%) | 3 (50.0%) | 12 (92.3%) | 57 (76.0%) | 41 (91.1%) | 5.22 | 0.07 | BMI (kg/m2) | 24.78 ± 2.67 | 23.61 ± 2.92 | 24.43 ± 3.62 | 25.31 ± 2.21 | 25.09 ± 2.53 | 1.73 | 0.62 | Hypertension | 4 (80.0%) | 3 (50.0%) | 8 (61.5%) | 57 (76.0%) | 31 (68.9%) | 1.85 | 0.40 | Hyperlipidemia | 3 (60.0%) | 5 (83.3%) | 11 (84.6%) | 39 (52.0%) | 23 (51.1%) | 6.16 | 0.05 | Impaired glucose tolerance | 2 (40.0%) | 0 | 3 (23.1%) | 30 (40.0%) | 17 (37.8%) | 2.97 | 0.23 | Smoking | 0 | 0 | 13 (100.0%) | 35 (46.7%) | 22 (48.9%) | 0.41 | 0.81 | Previous PCI history | 1 (20.0%) | 5 (83.3%) | 3 (23.1%) | 31 (41.3%) | 26 (57.8%) | 3.87 | 0.14 | Previous CABG history | 0 | 0 | 0 | 1(1.3%) | 0 | 1.31 | 0.52 | Previous MI history | 2 (40.0%) | 1 (16.7%) | 6 (46.2%) | 23 (30.7%) | 13 (28.9%) | 0.57 | 0.75 | ≥NYHA III | 2 (40.0%) | 0 | 6 (46.2%) | 26 (34.7%) | 17 (37.8%) | 0.17 | 0.92 | ≥CKD III | 1 (20.0%) | 1 (16.7%) | 0 | 5 (6.7%) | 7 (15.6%) | 2.45 | 0.29 | Acute coronary syndrome | 5 (100.0%) | 4 (66.7%) | 13 (100.0%) | 69 (92.0%) | 39 (86.7%) | 0.93 | 0.63 | LVEF<40% | 0 | 1 (16.7%) | 2 (15.4%) | 6 (8.0%) | 4 (8.9%) | 0.42 | 0.81 | Angiographic features | CTO target vessel | | | | | | 1.90 | 0.49 | LAD | 3 (60.0%) | 3 (50.0%) | 5 (38.5%) | 29 (38.7%) | 21 (46.7%) | | | LCX | 0 | 0 | 2 (15.4%) | 6 (8.0%) | 6 (13.3%) | | | RCA | 2 (40.0%) | 3 (50.0%) | 6 (46.2%) | 39 (52.0%) | 18 (40.0%) | | | LM | 0 | 0 | 0 | 1 (1.3%) | 0 | | | Collateral circulation, Rentrop<2 | 2 (40.0%) | 1 (16.7%) | 4 (30.8%) | 23 (30.7%) | 16 (13.3%) | 0.41 | 0.86 | Blunt occlusion | 3 (60.0%) | 3 (50.0%) | 7 (53.8%) | 36 (48.0%) | 34 (75.6%) | 8.89 | 0.01 | Calcification | 1 (20.0%) | 0 | 4 (30.8%) | 25 (33.3%) | 27 (60.0%) | 12.33 | <0.01 | Curvature | 4 (80.0%) | 5 (83.3%) | 12 (92.3%) | 68 (90.7%) | 42 (93.3%) | 0.82 | 0.63 | Occlusion length ≥20 mm | 3 (60.0%) | 6 (100.0%) | 12 (92.3%) | 66 (90.7%) | 40 (88.9%) | 0.35 | 0.98 | Distal occlusion | 2 (40.0%) | 2 (33.3%) | 6 (46.2%) | 38 (50.7%) | 30 (66.7%) | 4.71 | 0.10 | Initial occlusion | 3 (60.0%) | 3 (50.0%) | 6 (46.2%) | 34 (45.3%) | 23 (51.1%) | 4.26 | 0.81 | In-stent occlusion | 1 (20.0%) | 0 | 0 | 11 (14.7%) | 8 (17.8%) | 3.08 | 0.21 | J-CTO score | 2.20 ± 0.84 | 2.33 ± 1.03 | 3.08 ± 1.19 | 3.03 ± 0.92 | 3.42 ± 0.87 | 3.67 | <0.01 | PROGRESS score | 1.20 ± 0.84 | 0.67 ± 0.82 | 1.23 ± 1.09 | 1.23 ± 0.97 | 1.60 ± 0.86 | 1.96 | 0.10 | ORA score | 1.40 ± 0.55 | 1.00 ± 1.55 | 1.23 ± 0.83 | 1.27 ± 1.12 | 1.42 ± 1.10 | 0.29 | 0.88 | Recharge score | 2.60 ± 1.14 | 2.67 ± 1.21 | 3.15 ± 0.99 | 3.12 ± 0.94 | 3.6 ± 1.03 | 2.80 | <0.05 | Operator score | 3.80 ± 0.84 | 2.33 ± 1.86 | 2.77 ± 1.30 | 2.03 ± 1.16 | 0.73 ± 1.32 | 14.21 | <0.01 | PCI features | Forward single-guidewire technology | 1 (20.0%) | 5 (83.3%) | 12 (92.3%) | 53 (70.7%) | 23 (51.1%) | 5.95 | 0.05 | Forward double-guidewire technology | 1 (20.0%) | 1 (16.7%) | 1 (7.7%) | 15 (20.0%) | 20 (44.4%) | 11.51 | <0.01 | Intravascular ultrasound guidance/exploration | 1 (20.0%) | 1 (16.7%) | 2 (15.4%) | 13 (17.3%) | 19 (42.2%) | 10.36 | <0.01 | Intervention strategy conversion | 1 (20.0%) | 0 | 4 (30.8%) | 24 (32.0%) | 19 (42.2%) | 3.35 | 0.19 | 7F guide tube | 3 (20.0%) | 4 (66.7%) | 10 (76.9%) | 43 (57.3%) | 29 (64.4%) | 1.60 | 0.45 | X-ray fluoroscopy time | 78.50 ± 27.58 | 73.80 ± 26.73 | 78.46 ± 11.91 | 67.35 ± 17.66 | 63.37 ± 17.45 | 10.12 | <0.05 | Dosage of the contrast agent | 215.00 ± 91.92 | 192.00 ± 55.41 | 197.69 ± 42.65 | 178.68 ± 44.25 | 172.21 ± 40.51 | 4.53 | 0.34 | CTO-PCI technical success | 40.0% | 83.3% | 100% | 90.7% | 95.6% | 100.25 | <0.01 | CTO-PCI procedural success | 40.0% | 83.3% | 100% | 89.3% | 91.1% | 141.29 | <0.01 |
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