Related Experiment Video

Updated: Jun 25, 2026

Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease
06:16

Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease

Published on: August 9, 2024

Prognostic Utility of the BCIS-CHIP Score in Imaging-Guided Percutaneous Coronary Intervention

Yuki Nakata1, Eiji Shibahashi1, Hisao Otsuki1

  • 1Department of Cardiology, Tokyo Women's Medical University, Tokyo, Japan.

The American Journal of Cardiology
|June 23, 2026
PubMed

Insights

The British Cardiovascular Intervention Society (BCIS) complex high-risk indicated percutaneous coronary intervention (CHIP) score effectively predicts cardiovascular events in patients undergoing imaging-guided PCI, simplifying risk stratification.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Clinical Risk Stratification

Background:

  • The British Cardiovascular Intervention Society (BCIS) developed a complex high-risk indicated percutaneous coronary intervention (CHIP) score.
  • Its prognostic value is established, but validation in imaging-guided PCI is lacking.
  • Imaging-guided PCI shows a favorable prognostic association with CHIP.

Purpose of the Study:

  • To investigate the utility of the BCIS-CHIP score in patients undergoing imaging-guided PCI.
  • To assess the prognostic value of the BCIS-CHIP score in this specific patient population.

Main Methods:

  • A multicenter prospective observational study included 1218 patients undergoing imaging-guided PCI.
  • Patients were stratified into four groups based on BCIS-CHIP scores (0, 1-2, 3-4, ≥5).
  • The primary endpoint was 1-year major adverse cardiac or cerebrovascular events (MACCE); secondary outcomes included individual MACCE components, target vessel revascularization, and heart failure.

Main Results:

  • MACCE incidence at 1 year was 1.8% (score 0), 3.4% (1-2), 7.3% (3-4), and 11.7% (≥5) (p<0.001).
  • Patients with scores 3-4 (HR: 4.2) and ≥5 (HR: 7.4) had significantly higher MACCE rates compared to score 0.
  • The BCIS-CHIP score demonstrated a clear gradient of risk.

Conclusions:

  • The BCIS-CHIP score is a valuable tool for predicting cardiovascular events in patients undergoing imaging-guided PCI.
  • It can simplify the risk stratification process for patients with CHIP undergoing this procedure.

Keywords:
complex high-risk indicated percutaneous coronary interventionimaging-guided percutaneous coronary interventionintravascular ultrasoundpercutaneous coronary intervention

Related Concept Videos

Imaging Studies for Cardiovascular System VI: Calcium -Scoring CT01:25

Imaging Studies for Cardiovascular System VI: Calcium -Scoring CT

Calcium-Scoring CT ScanA calcium-scoring CT scan, also known as coronary artery calcium (CAC) scan, detects calcium deposits in the coronary arteries. This test assesses the risk of coronary artery disease (CAD), which can lead to cardiovascular events such as angina, heart failure, and sudden cardiac arrest.A calcium-scoring CT scan is generally recommended for individuals at intermediate risk of CAD without symptoms. It includes:Men aged 40-75 and women aged 50-75: Especially those with a...
Acute Coronary Syndrome III: Diagnostic Studies01:30

Acute Coronary Syndrome III: Diagnostic Studies

Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
Imaging Studies for Cardiovascular System V: CT01:28

Imaging Studies for Cardiovascular System V: CT

Cardiac computed tomography (CT) scanning is an advanced cardiac imaging technique that utilizes CT technology, with or without intravenous (IV) contrast, to produce accurate cross-sectional virtual slices of specific areas of the heart, coronary circulation, and major blood vessels such as the aorta, pulmonary veins, and arteries. The computer processes these slices to generate three-dimensional images. Multidetector CT (MDCT) is a rapid form of CT scanning that captures multiple slices...
Cardiac Catheterization I: Pre-Procedure Overview01:28

Cardiac Catheterization I: Pre-Procedure Overview

Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...