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Development and validation of a scoring system for predicting periprocedural complications during percutaneous coronary interventions of chronic total occlusions: the prospective global registry for the study of chronic total occlusion intervention (progress cto) complications score
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نویسنده
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danek b.a. ,karatasakis a. ,karmpaliotis d. ,alaswad k. ,yeh r.w. ,jaffer f.a. ,patel m.p. ,mahmud e. ,lombardi w.l. ,wyman m.r. ,aaron grantham j. ,doing a. ,kandzari d.e. ,lembo n.j. ,garcia s. ,toma c. ,moses j.w. ,kirtane a.j. ,parikh m.a. ,ali z.a. ,karacsonyi j. ,rangan b.v. ,thompson c.a. ,banerjee s. ,brilakis e.s.
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منبع
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journal of the american heart association - 2016 - دوره : 5 - شماره : 10
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چکیده
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Background--high success rates are achievable for chronic total occlusion (cto) percutaneous coronary intervention (pci) using the hybrid approach,but periprocedural complications remain of concern. although scores estimating success and efficiency in cto pci have been developed,there is currently no available score for estimation of the risk for periprocedural complications. we sought to develop a scoring tool for prediction of periprocedural complications during cto pci. methods and results--we analyzed data from 1569 cto pcis in the prospective global registry for the study of chronic total occlusion intervention (progress cto) using a derivation and validation sampling ratio of 2:1. variables independently associated with periprocedural complications in multivariable analysis in the derivation set were assigned points based on their respective odds ratios. forty-four (2.8%) patients experienced complications. three factors were independent predictors of complications and were included in the score: patient age > 65 years,+3 points (odds ratio,or=4.85,ci 1.82-16.77); lesion length ≥23 mm,+2 points (or=3.22,ci 1.08-13.89); and use of the retrograde approach +1 point (or=2.41,ci 1.04-6.05). the resulting score showed good calibration and discriminatory capacity in the derivation (hosmer-lemeshow χ2 6.271,p=0.281,receiver-operating characteristic [roc] area=0.758) and validation (hosmer-lemeshow χ2 4.551,p=0.473,roc area=0.793) sets. score values of 0 to 2,3 to 4,and ≥5 were defined as low,intermediate,and high risk of complications (derivation cohort 0.4%,1.8%,6.5%,p < 0.001; validation cohort 0.0%,2.5%,6.8%,p < 0.001). conclusions--the progress cto complication score is a useful tool for prediction of periprocedural complications in cto pci. © 2016 the authors.
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کلیدواژه
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Chronic total occlusion; Complication; Outcome; Percutaneous coronary intervention; Risk stratification
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آدرس
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va north texas healthcare system and ut southwestern medical center,dallas,tx, United States, va north texas healthcare system and ut southwestern medical center,dallas,tx, United States, columbia university,new york,ny, United States, henry ford hospital,detroit,mi, United States, massachusetts general hospital and harvard medical school,boston,ma, United States, massachusetts general hospital and harvard medical school,boston,ma, United States, va san diego healthcare system and university of california san diego,san diego,ca, United States, va san diego healthcare system and university of california san diego,san diego,ca, United States, university of washington,seattle,wa, United States, torrance memorial medical center,torrance,ca, United States, mid america heart institute,kansas city,mo, United States, medical center of the rockies,loveland,co, United States, piedmont heart institute,atlanta,ga, United States, piedmont heart institute,atlanta,ga, United States, minneapolis va healthcare system and university of minnesota,minneapolis,mn, United States, university of pittsburgh medical center,pittsburgh,pa, United States, columbia university,new york,ny, United States, columbia university,new york,ny, United States, columbia university,new york,ny, United States, columbia university,new york,ny, United States, va north texas healthcare system and ut southwestern medical center,dallas,tx, United States, va north texas healthcare system and ut southwestern medical center,dallas,tx, United States, boston scientific,natick,ma, United States, va north texas healthcare system and ut southwestern medical center,dallas,tx, United States, va north texas healthcare system and ut southwestern medical center,dallas,tx, United States
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Authors
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