Evidence map›Paper›PMID 39881392›Full record

ArticleJournal of cardiothoracic surgery2025

Catlet scoring system as a new predictor for in-stent restenosis in patients with chronic coronary artery disease undergoing percutaneous coronary intervention with drug-eluting stent.

Juan Wang, Mingchao Zhang, Weipeng Gan, Mingxing Xu, JiaYan Zhou, Lingfei Yang, Yongsheng Ke

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Article in Journal of cardiothoracic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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7 authors.

Juan Wang *Department of Cardiology, The Second Affiliated Hospital of Wannan Medical College, Wuhu, China.
Mingchao Zhang *Department of Cardiology, The Second Affiliated Hospital of Wannan Medical College, Wuhu, China.
Weipeng GanDepartment of Cardiology, The Second Affiliated Hospital of Wannan Medical College, Wuhu, China.
Mingxing XuDepartment of Geriatrics, The First People's Hospital of Hefei, Hefei, China.
JiaYan ZhouDepartment of Cardiology, The Second Affiliated Hospital of Wannan Medical College, Wuhu, China.
Lingfei YangDepartment of Cardiology, The Second Affiliated Hospital of Wannan Medical College, Wuhu, China.
Yongsheng KeDepartment of Cardiology, The first Affiliated Hospital of Wannan, Medical College, Wuhu, China. wjlzh5520@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHe's team have recently developed a new Coronary Artery Tree description and Lesion EvaluaTion (CatLet) angiographic scoring system, which is capable of accounting for the variability in coronary anatomy, and risk-stratifying patients with coronary artery disease. Preliminary studies have demonstrated its superiority over the the Synergy between percutaneous coronary intervention with Taxus and Cardiac Surgery (SYNTAX) score with respect to outcome predictions for acute myocardial infarction (AMI) patients. However, there are fewer studies on the prognostic in chronic coronary artery disease(CAD). This study aimed to clarify whether the CatLet score had a predictive value for in-stent restenosis(ISR) in patients with chronic coronary artery disease undergoing percutaneous coronary intervention with drug-eluting stent(DES).

methodsA total of 260 patients who were diagnosed with chronic CAD and underwent coronary DES implantation at the second affiliated Hospital of Wannan medical college in China were consecutively enrolled from January 2020 to June 2021.Finally, 164 patients underwent the second angiography after 2 years.According to whether ISR was detected at follow-up angiography, patients were divided into the ISR group (n = 26) and the non-ISR group (n = 139).

resultsA total of 165 patients (46 women and 119 men) with a mean ages of 66.19 ± 10.54 years were finally enrolled in this study. Of these, ISR occurred in 26/165 chronic CAD patients (15.76%) by follow-up angiography. Univariate analysis showed that most baseline characteristics of the ISR and non-ISR group were similar. Patients in the ISR group had significantly the history of chronic obstructive pulmonary disease(COPD), adverse lesion characteristic, higher Catlet score compared with patients in the non-ISR group.The CatLet score was capable of predicting in-stent restenosis after adjustment for risk factors; The Multivariable-adjusted model showed good calibration and good discrimination (area under ROC curve = 0.7164) for ISR. CONCLUDE: CatLet score is a new predictor of ISR in patients with chronic CAD after coronary DES implantation.

Indexed as

Coronary Artery DiseaseCoronary RestenosisCoronary VesselsDrug-Eluting StentsPercutaneous Coronary InterventionAgedChronic DiseaseCoronary AngiographyFemaleFollow-Up StudiesHumansMaleMiddle AgedPredictive Value of TestsRetrospective StudiesRisk AssessmentCatLet scoreCoronary artery diseaseIn-stent restenosisUric acid

Identifiers

PMID39881392
PMCPMC11776114

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