J-CTOscore英语讲解课件.pptVIP

Predicting Successful Guide Wire Crossing Through Chronic Total Occlusion of Native Coronary Lesions within 30 Minutes: the J-CTO Score as a Difficulty Grading and Time Assessment ToolYoshihiro Morino, MD, Mitsuru Abe, MD, Takeshi Morimoto, MD, Takeshi Kimura, MD, Yasuhiko Hayashi, MD, Toshiya Muramatsu, MD, Masahiko Ochiai, MD, Yuichi Noguchi, MD, Kenichi Kato, MD, Yoshisato Shibata, MD, Yoshikazu Hiasa, MD, Osamu Doi, MD, Takehiro Yamashita, MD, Tomoaki Hinohara, MD, Hiroyuki Tanaka, MD, Kazuaki Mitsudo, MD, For the J-CTO Registry Investigators DisclosureThere is nothing to disclose for all the authors. BackgroundCurrently, there is a great deal of interest in percutaneous coronary intervention (PCI) for treating chronic total occlusion (CTO), primarily due to the marked improvements observed in the acute and long-term results now achievable.However, a high proportion of patients with CTOs are still being managed medically or referred for coronary artery bypass grafting (CABG) rather than PCI, because of uncertainty of success of the procedure, difficulties in selecting suitable cases, and its “time-consuming” nature. PurposeTo establish a model for grading lesion difficulty in interventional CTO treatment Methods PopulationsThe study population consisted of consecutive 494 native coronary CTO lesions in 465 patients enrolled in the Japanese multicenter CTO registry (the J-CTO registry, Morino Y, et al J Am Coll Cardiol Intv 2010; 3:143-51). “Successful GW crossing within 30 minutes”1. Why commonly-used “final procedural success” was not used? Because it might be significantly influenced by uncountable factors like operator’s skill, experience, judgment, effort, and perseverance, which should be minimized in order to investigate the level of difficulty intrinsic to treating the lesions. The Set Endpoint to Determine Lesion Difficulty2. Why 30 minutes were used as the cut-off?Because manipulation within 30 minutes, that was the median of GW time in this trial,