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Grades of collateral filling from the contralateral vessel were: 0 = none; 1 = filling of side branches of the artery to be dilated via collateral channels without visualization of the epicardial segment; 2 = partial filling of the epicardial segment via collateral channels; 3 = complete filling of the epicardial segment of the artery being dilated via collateral channels.
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The degree of collateral filling (Rentrop) was assessed as grade 0 = none, grade 1 = filling of side branches of the occluded artery, grade 2 = partial epicardial filling, and grade 3 = complete epicardial filling of the occluded artery.
Offer an acceptable form of collateral.
The recorded data also included the location, number and percentage of stenosis of diseased vessels, the vessel to which the collaterals were connected, the grade of coronary collateral circulation, and the coronary artery disease severity scoring.
The degree of collaterals supplying the distal aspect of a total occlusion from the contra-lateral vessel was graded as low (Rentrop score of 0 or 1) or high collateralization (Rentrop score of 2 or 3).
Angiography and the Rentrop scoring system were used to classify the severity of CAD in each patient and to grade the extent of collateral development, respectively.
Measuring collateral flow index by intravascular Doppler guidewire may provide a more objective physiological measurement of collateral grade.
In subjects with collaterals, the Rentrop coronary grade was distributed as follows: 36 (17.8%) with grade 1, 60 (29.7%) with grade 2 and 20 (9.9%) with grade 3. Furthermore, we also used CC grade to provide additional information for the size of collateral connection diameter: CC grade 0 was observed in 49.5%, CC grade 1 in 37.1%, and CC grade 2 in 13.4%.
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