ArticlePostepy w kardiologii interwencyjnej = Advances in interventional cardiology2023
Prediction of side branch occlusion in bifurcational lesions during percutaneous coronary interventions by preprocedural coronary computed tomography using the CT bifurcation score.
Article in Postepy w kardiologii interwencyjnej = Advances in interventional cardiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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4 citing papers in PubMed, 3 citations in OpenAlex.
- Enhancing non-invasive differentiation in NSTE-ACS: role of PCAT radiomics.Cardiology journal · 2026Article
- Simultaneous kissing stents for left main percuntaneous coronary intervention with Impella CP in a patient with acute myocardial infarction and cardiogenic shock.Postepy w kardiologii interwencyjnej = Advances in interventional cardiology · 2025Article
- Comparative Short-Term Outcomes of Double-Kissing Culotte and Culotte Techniques in Acute Coronary Syndrome from the Lower Silesia Culotte Bifurcation Registry.Journal of clinical medicine · 2024Article
- Evolving Role of Coronary CT Angiography in Coronary Angiography and Intervention: A State-of-the-Art Review.Current cardiology reports · 2024Review
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Authors and funding
3 authors at 1 institution in 1 country.
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Abstract
Introduction: Coronary computed tomographic angiography (CCTA) is a highly diagnostically accurate non-invasive imaging method for a thorough evaluation of atherosclerotic plaques. Many CCTA-based imaging investigations concentrate on bifurcation lesions. Aim: To determine whether intraprocedural side branch (SB) obstruction during the percutaneous coronary intervention (PCI) of lesions involving bifurcations might be predicted by preprocedural CCTA. Material and methods: This retrospective observational study was conducted on 200 stentable bifurcation lesions of 200 coronary artery disease patients with the SB ≥ 2 mm in diameter. All patients were planned for elective bifurcation PCI after undergoing CCTA for quantitative plaque characterization of both the main vessel and SB to obtain the CT bifurcation score. Then, angiography-based bifurcations were classified using both the Medina classification and the RESOLVE score before PCI of the bifurcation lesions. Most of the cases were managed by the provisional technique. Results: The CT bifurcation score was substantially higher in patients with SB occlusion ( Conclusions: Intraprocedural SB occlusion can be predicted by a comprehensive CCTA evaluation. The CT bifurcation score, a novel and simple points scoring system based on six CCTA parameters, outperformed current angiographic classification or scoring systems for predicting SB occlusion.
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