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April 1, 2016EuroIntervention

An angiographic tool based on Visual estimation for Risk prEdiction of Side branch OccLusion in coronary bifurcation interVEntion: the V-RESOLVE score system

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Key result

The visually estimated V-RESOLVE score performed similarly to the QCA-based RESOLVE score for predicting side branch occlusion during bifurcation intervention (c-statistic 0.76 vs 0.77; p=0.74).

Why the study?

Does the visually estimated V-RESOLVE score perform comparably to the QCA-based RESOLVE score in predicting side branch occlusion during coronary bifurcation intervention?

Population

1,601 coronary bifurcation lesions previously analyzed for the development and validation of the QCA-based…

Comparison

Visual estimation-based risk score for… vs Quantitative coronary angiography-based RESOLVE…

Design

Cohort, Independent observer blinded to previous QCA data

Authors

KDKefei DouInterventional / Structural CardiologyDZDong ZhangShenyang Ligong UniversityBXBo XuInterventional Cardiology

Discussion

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Implication

Supports visual V-RESOLVE scoring without QCA; leaves open prospective validation and outcome impact in bifurcation PCI.

Study Design

Type

Observational (n=1,601)

Blinding

Single-blind

Structured PICO

Does the visually estimated V-RESOLVE score perform comparably to the QCA-based RESOLVE score in predicting side branch occlusion during coronary bifurcation intervention?

P
Population
1,601 coronary bifurcation lesions evaluated to validate a visually estimated risk score for side branch occlusion.
E
Exposure
Visual estimation-based risk score (V-RESOLVE) for predicting side branch occlusion
C
Comparator
Quantitative coronary angiography (QCA)-based RESOLVE score
O
Outcome
Prediction of side branch occlusion (assessed by c-statistic)surrogate

Main Result

Absolute Event Rate: 0.76% vs 0.77%

p-value: p=0.74

The visually estimated V-RESOLVE score performs comparably to the QCA-based RESOLVE score for predicting side branch occlusion during coronary bifurcation interventions, offering a more practical tool for real-time use.

Cite This Study

Dou et al. (2016) conducted an observational in Coronary bifurcation lesions at risk of side branch occlusion (n=1,601). V-RESOLVE score vs. QCA-based RESOLVE score was evaluated on Risk prediction of side branch occlusion (c-statistic) (95% CI 0.71 to 0.80, p=0.74). The visually estimated V-RESOLVE score performed similarly to the QCA-based RESOLVE score for predicting side branch occlusion during bifurcation intervention (c-statistic 0.76 vs 0.77; p=0.74).

synapsesocial.com/papers/6a7c95de1c66e457e78ce2bchttps://doi.org/10.4244/eijv11i14a311

Topics

Coronary artery disease
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Also Consider

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