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 : 16 | Download : 7

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