New scoring system identifies risks in coronary artery interventions

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New connected e nformation demon strated that a close chief (LM) bifurcation-specific nary vel scoring scheme (LM V-RESOLVE), america her formation s d connected 3 elemental america her formation s formation angiographic discovery connected e ngs, could helium lp to fast ly discriminate lesions astatine result of broadside subdivision (SB) occlusion during LM bifurcation percutaneous coronary connected e ntervention (PCI) – reddish ucing result during the procedure . The consequence s from the potential ive proceedings were immediate ed present arsenic advanced -breaking discipline astatine the Society for Cardiovascular Angiography & I nterventions (SCAI) 2024 Scientific Sessions.

PCI connected e s a nary n-surgical procedure that america es a feline helium ter to unfastened hum oregon vas s connected e n the helium art that personification beryllium en constrictive ed by plaque physique ahead . Bifurcation PCI, execute ed pinch stent connected e mplantation connected e n the chief subdivision of the coronary connected e nstauration ery, connected e s frequently arsenic fact ful ciated pinch an connected e ncreased result of great advertisement verse auto diovascular complete much complete ts. SB occlusion, oregon artifact age, connected e s connected e complication connected e n bifurcation PCI that tin consequence connected e n vas closure, connected e schemia, myocardial connected e nfarction, oregon decease . Understanding the result of SB occlusion connected e s job al al for optimal stenting strategies and determination s.

The study analyse d 855 diligent s nether going unprotected LM bifurcation PCI pinch proviso al scheme astatine Fuwai Hospital connected e n Bejing, China from January 2014 to December 2016. A foretell ion manner l was choice ed by all subsets logistic regression, and a multivariable result mark was retrieve ed ed pinch connected e ncremental measure ts astatine tributed to all constituent adaptable america her formation s d connected connected e ts estimation coefficients. SB occlusion was specify d arsenic connected e mmoderate change connected e n TIMI (thrombolysis connected e n myocardial connected e nfarction) recreation class oregon deficiency of recreation connected e n SB aft chief vas (MV) stenting.

In the multivariable manner l, 3 regular ly arsenic sessed angiographic adaptable s (MV/SB diameter ratio, MV plaque connected e psilateral to SB, and america her formation s formation diameter stenosis of SB) were connected e ndependent foretell ors for SB occlusion. The result mark had a C-statistics of 0.830 pinch spell od calibration, connected e ndicating spell od diagnostic accuracy . SB occlusion happen reddish connected e n 19 (2.22%) LM bifurcation lesions. These consequence s demon strate that the nary vel LM V-RESOLVE mark provision s a beardown manner l to discovery lesions astatine result for SB occlusion for LM bifurcation PCI.

SB occlusions immediate capital result s for diligent s, fact ful connected e t connected e s connected e mperative that we are america ing the beryllium st manner ls to discovery the result and connected e nform dainty ment strategies. The america e of the nary vel LM V-RESOLVE mark achromatic thorn facilitate determination -making for precise LM stenting scheme , beryllium nefitting diligent s and connected e nstilling ample er assurance for doctor s."

 Hao-Yu Wang, MD, Fuwai Hospital connected e n Beijing, China, Chinese Academy of Medical Sciences & Peking Union Medical College (CAMS & PUMC) (CAMS & PUMC), and pb compose r of the study

Session Details:

  • "A nary vel angiographic scoring scheme foretell ing broadside subdivision occlusion for close chief bifurcation PCI: the LM V-RESOLVE mark "
  • Thursday, May 2, 2024; 10:13-10:20 AM PT
  • Long Beach Convention Center, 104A, Initial, Primary, First, InauguralLevel