Abstract
Objective: To assess the ability of different CTO scores in predicting procedural success and complications. Background: Coronary chronic total occlusion (CTO) percutaneous revascularization is technically difficult in interventional cardiology. Methods: One hundred of CTO cases were enrolled in this cross-sectional descriptive analytical prospective study with application of multiple scoring systems including J-score, Castle, CL, ELLIS, RECHARGE, PROGRESS CTO, PROGRESS CTO complications and patients were subdivided into two groups: group I complicated group II: non-complicated. Results: The predictive performance of scores via ROC curve analysis. For CASTLE ≥ 2, sensitivity was 85.7%, specificity was 77.2%, and the area under the ROC curve (AUROC) was 0.867, with a highly significant p-value while For PROGRESS CTO complications ≥ 3, sensitivity was 61.9%, specificity was 91.1% and AUROC was 0.846 (95% CI: 0.714 - 0.920), with a highly significant p-value. When combined, CASTLE and PROGRESS CTO complications showed sensitivity of 80.9, specificity of 96.2%, and AUROC of 0.898. Conclusion: Our study underscores the importance of utilizing scoring systems such as CASTLE and PROGRESS CTO complications scores to predict periprocedural complications in chronic total occlusion percutaneous coronary intervention.
Subject Area
Cardiology
Article Type
Original Study
Recommended Citation
Soliman, Mohamoud A.; Yaseen, Rehab I.; Abdallah, Ashraf F.; and Zien, Fatma Elzahraa A.
(2025)
"Outcomes of Chronic Total occlusion Revascularization by Percutaneous Coronary intervention and Validation of a Various Scoring Systems,"
Menoufia Medical Journal: Vol. 38:
Iss.
1, Article 18.
DOI: https://doi.org/10.59204/2314-6788.3332
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