- Koşuyolu Heart Journal
- Volume:25 Issue:3
- Prognostic Value of Logistic Clinical Syntax Score in Coronary Bifurcation Lesions Treated with Doub...
Prognostic Value of Logistic Clinical Syntax Score in Coronary Bifurcation Lesions Treated with Double Stent Technique
Authors : Gökhan DEMİRCİ, Serkan ASLAN, Ali Rıza DEMİR, Begüm UYGUR, Ayan IŞIK, Enes ARSLAN, Mehmet ERTÜRK
Pages : 240-249
View : 15 | Download : 5
Publication Date : 2022-12-01
Article Type : Research Paper
Abstract :Introduction: In this study, we aimed to investigate the relationship between the preprocedural logistic clinical SYNTAX score insert ignore into journalissuearticles values(Log CSS); and major cardiovascular events insert ignore into journalissuearticles values(MACE); in patients with true bifurcation lesions who underwent revascularization with the double stent strategy. Patients and Methods: A total of 233 non-ST elevation myocardial infarction insert ignore into journalissuearticles values(NSTEMI); patients who underwent revascularization with a double stent strategy were retrospectively included in the study. Anatomical SYNTAX score insert ignore into journalissuearticles values(SS); and log CSS were calculated. The patients were divided into two groups according to the cut-off value determined by ROC analysis. The prediction of two-year MACE with Log CSS was evaluated. Results: MACE developed in 33.9% of patients with high Log CSS and 8.5% of patients with low Log CSS insert ignore into journalissuearticles values(p< 0.001);. In the Kaplan-Meier survival analysis, the long-term survival of the high Log CSS patients was significantly lower than the low Log CSS group insert ignore into journalissuearticles values(Log-rank p< 0.001);. In multivariate COX analyses, high Log CCS insert ignore into journalissuearticles values(HR= 3.781; 95% CI= 1.706-8.377; p= 0.001); was the strongest independent predictor of MACE. Conclusion: Log CSS can be a simple and useful tool to predict the development of MACE in patients with true bifurcation lesions revascularized by percutaneous coronary intervention.Keywords : Atherosclerosis, percutaneous coronary intervention, percutaneous coronary intervention