Validation of the V‐RESOLVE (Visual Estimation for Risk prEdiction of Side Branch OccLusion in Coronary Bifurcation interVEntion) score system

Validation of the V‐RESOLVE (Visual Estimation for Risk prEdiction of Side Branch OccLusion in... AbbreviationsV‐RESOLVEVisual estimation for Risk prEdiction of Side branch OccLusion in coronary bifurcation interVEntionSBside branchMVmain vesselTIMIthrombolysis in myocardial infarctionCIconfidence intervalPCIpercutaneous coronary interventionCTOchronic total occlusionROCreceiver operating characteristicNPVnegative predictive valuePPVpositive predictive valueCABGcoronary artery bypass graftingOCToptical coherence tomographyINTRODUCTIONCoronary bifurcation lesions account for 15%–20% of all percutaneous coronary interventions (PCI) . A major concern for bifurcation intervention is to keep patency of a significant side branch (SB). While the aggressive strategy of stenting in SB for all bifurcations is inappropriate, the prevalent strategy of stenting in main vessel (MV) and provisionally stenting in SB leads to an SB occlusion rate of 6.1%–18% as previously reported , which suggests us that some bifurcation lesions are vulnerable to SB occlusion if treated with the provisional strategy. Identifying angiographic characteristics related with SB occlusion can help decision‐making in interventional strategy.The Visual estimation for Risk prEdiction of Side branch OccLusion in coronary bifurcation intervention (V‐RESOLVE) score was developed by Dou et al. to predict the risk of SB occlusion after MV stenting in coronary bifurcation lesions . The score system comprises six independent visually estimated risk predictors for SB occlusion, including four preprocedural angiographic predictors (plaque distribution at the bifurcation, diameter stenosis of bifurcation core, bifurcation angle, and http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Catheterization and Cardiovascular Interventions Wiley

Validation of the V‐RESOLVE (Visual Estimation for Risk prEdiction of Side Branch OccLusion in Coronary Bifurcation interVEntion) score system

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Publisher
Wiley Subscription Services, Inc., A Wiley Company
Copyright
© 2018 Wiley Periodicals, Inc.
ISSN
1522-1946
eISSN
1522-726X
D.O.I.
10.1002/ccd.27499
Publisher site
See Article on Publisher Site

Abstract

AbbreviationsV‐RESOLVEVisual estimation for Risk prEdiction of Side branch OccLusion in coronary bifurcation interVEntionSBside branchMVmain vesselTIMIthrombolysis in myocardial infarctionCIconfidence intervalPCIpercutaneous coronary interventionCTOchronic total occlusionROCreceiver operating characteristicNPVnegative predictive valuePPVpositive predictive valueCABGcoronary artery bypass graftingOCToptical coherence tomographyINTRODUCTIONCoronary bifurcation lesions account for 15%–20% of all percutaneous coronary interventions (PCI) . A major concern for bifurcation intervention is to keep patency of a significant side branch (SB). While the aggressive strategy of stenting in SB for all bifurcations is inappropriate, the prevalent strategy of stenting in main vessel (MV) and provisionally stenting in SB leads to an SB occlusion rate of 6.1%–18% as previously reported , which suggests us that some bifurcation lesions are vulnerable to SB occlusion if treated with the provisional strategy. Identifying angiographic characteristics related with SB occlusion can help decision‐making in interventional strategy.The Visual estimation for Risk prEdiction of Side branch OccLusion in coronary bifurcation intervention (V‐RESOLVE) score was developed by Dou et al. to predict the risk of SB occlusion after MV stenting in coronary bifurcation lesions . The score system comprises six independent visually estimated risk predictors for SB occlusion, including four preprocedural angiographic predictors (plaque distribution at the bifurcation, diameter stenosis of bifurcation core, bifurcation angle, and

Journal

Catheterization and Cardiovascular InterventionsWiley

Published: Jan 15, 2018

Keywords: ; ; ; ;

References

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