The CatLet score: a new coronary angiographic scoring tool accommodating the variable coronary anatomy for the first time
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The CatLet score: a new coronary angiographic scoring tool accommodating the variable coronary anatomy for the first time. / Xu, Ming-Xing; Teng, Ruo-Ling; Ruddy, Terrence D; Schoenhagen, Paul; Bartel, Thomas; Di Bartolomeo, Roberto; Aksoy, Olcay; Desai, Milind; von Kodolitsch, Yskert; Escaned, Javier; McCullough, Peter A; Vasudevan, Anupama; Shen, Cheng-Xing; Zhao, Xin; Zhou, Ya-Feng; Xu, Hai-Feng; Cheng, Xu-Jie; He, Yong-Ming; AME Interventional Cardiology Collaborative Group.
In: J THORAC DIS, Vol. 11, No. 12, 12.2019, p. 5199-5209.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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T1 - The CatLet score: a new coronary angiographic scoring tool accommodating the variable coronary anatomy for the first time
AU - Xu, Ming-Xing
AU - Teng, Ruo-Ling
AU - Ruddy, Terrence D
AU - Schoenhagen, Paul
AU - Bartel, Thomas
AU - Di Bartolomeo, Roberto
AU - Aksoy, Olcay
AU - Desai, Milind
AU - von Kodolitsch, Yskert
AU - Escaned, Javier
AU - McCullough, Peter A
AU - Vasudevan, Anupama
AU - Shen, Cheng-Xing
AU - Zhao, Xin
AU - Zhou, Ya-Feng
AU - Xu, Hai-Feng
AU - Cheng, Xu-Jie
AU - He, Yong-Ming
AU - AME Interventional Cardiology Collaborative Group
N1 - 2019 Journal of Thoracic Disease. All rights reserved.
PY - 2019/12
Y1 - 2019/12
N2 - Background: The SYNTAX score for decision makings or outcome predictions in coronary artery disease does not account for the variations in the coronary anatomy, which is a clear fallacy for patients with less typical anatomy than suggested by the SYNTAX score. The current study aimed to derive a new coronary angiographic scoring system accommodating the variability in the coronary anatomy.Methods: The 17-myocardial segment model and laws of competitive blood supply and flow conservation were utilized to derive this new scoring system.Results: We obtained 6 types of RCA dominance, 3 types of diagonal size and 3 types of left anterior descending artery (LAD) length, which together resulted in a total of 54 patterns of coronary artery circulation to account for the variability in the coronary anatomy among individuals. A Coronary Artery Tree description and Lesion EvaluaTion (CatLet) angiographic scoring system has been designed based on the above-mentioned reclassification scheme (htpp://www.catletscore.com, IE browser is required to run this calculator).Conclusions: This new CatLet angiographic scoring system accommodated the variability in the coronary anatomy and standardized the collection of the coronary angiographic data, which could facilitate the comparison and exchange of these data between different catheter labs. Its utility for predicting the clinical outcomes and standardizing the angiographic data collection will be investigated in a series of clinical trials enrolling "all-comers" with coronary artery disease (CAD).
AB - Background: The SYNTAX score for decision makings or outcome predictions in coronary artery disease does not account for the variations in the coronary anatomy, which is a clear fallacy for patients with less typical anatomy than suggested by the SYNTAX score. The current study aimed to derive a new coronary angiographic scoring system accommodating the variability in the coronary anatomy.Methods: The 17-myocardial segment model and laws of competitive blood supply and flow conservation were utilized to derive this new scoring system.Results: We obtained 6 types of RCA dominance, 3 types of diagonal size and 3 types of left anterior descending artery (LAD) length, which together resulted in a total of 54 patterns of coronary artery circulation to account for the variability in the coronary anatomy among individuals. A Coronary Artery Tree description and Lesion EvaluaTion (CatLet) angiographic scoring system has been designed based on the above-mentioned reclassification scheme (htpp://www.catletscore.com, IE browser is required to run this calculator).Conclusions: This new CatLet angiographic scoring system accommodated the variability in the coronary anatomy and standardized the collection of the coronary angiographic data, which could facilitate the comparison and exchange of these data between different catheter labs. Its utility for predicting the clinical outcomes and standardizing the angiographic data collection will be investigated in a series of clinical trials enrolling "all-comers" with coronary artery disease (CAD).
U2 - 10.21037/jtd.2019.12.18
DO - 10.21037/jtd.2019.12.18
M3 - SCORING: Journal article
C2 - 32030237
VL - 11
SP - 5199
EP - 5209
JO - J THORAC DIS
JF - J THORAC DIS
SN - 2072-1439
IS - 12
ER -