The CABG SYNTAX score - An angiographic tool to grade the complexity of coronary disease following coronary artery bypass graft surgery: From the SYNTAX left main angiographic (SYNTAX-LE MANS) substudy

Vasim Farooq, Chrysafios Girasis, Michael Magro, Yoshinobu Onuma, Marie Angèle Morel, Jung Ho Heo, Hector Garcia-Garcia, Arie Pieter Kappetein, Marcel Van Den Brand, David R. Holmes, Michael Mack, Ted Feldman, Antonio Colombo, Elisabeth Ståhle, Stefan James, Didier Carrié, Gerard Fournial, Gerrit Anne Van Es, Keith D. Dawkins, Friedrich W. MohrMarie Claude Morice, Patrick W. Serruys

Research output: Contribution to journalArticle

Abstract

Aims: The SYNTAX Score (SXscore) has established itself as an important prognostic tool in patients undergoing percutaneous coronary intervention (PCI). A limitation of the SXscore is the inability to differentiate outcomes in patients who have undergone prior coronary artery bypass graft (CABG) surgery. The CABG SXscore was devised to address this limitation. Methods and results: In the SYNTAX-LE MANS substudy 115 patients with unprotected left main coronary artery disease (isolated or associated with one, two or three-vessel disease) treated with CABG were prospectively assigned to undergo a 15-month coronary angiogram. An independent core laboratory analysed the baseline SXscore prior to CABG. The 15-month CABG SXscore was calculated by a panel of three interventional cardiologists. The CABG SXscore was calculated by determining the standard SXscore in the "native" coronary vessels ("native SXscore") and deducting points based on the importance of the diseased coronary artery segment (Leaman score) that have a functioning bypass graft anastomosed distally. Points relating to intrinsic coronary disease, such as bifurcation disease or calcification, remain unaltered. The mean 15-month CABG SXscore was significantly lower compared to the mean baseline SXscore (baseline SXscore 31.6, SD 13.1; 15-month CABG SXscore 21.2, SD 11.1; p

Original languageEnglish
Pages (from-to)1277-1285
Number of pages9
JournalEuroIntervention
Volume8
Issue number11
Publication statusPublished - Mar 2013

Keywords

  • CABG
  • CABG SYNTAX score
  • Leaman score
  • PCI
  • SYNTAX score

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Fingerprint Dive into the research topics of 'The CABG SYNTAX score - An angiographic tool to grade the complexity of coronary disease following coronary artery bypass graft surgery: From the SYNTAX left main angiographic (SYNTAX-LE MANS) substudy'. Together they form a unique fingerprint.

  • Cite this

    Farooq, V., Girasis, C., Magro, M., Onuma, Y., Morel, M. A., Heo, J. H., Garcia-Garcia, H., Kappetein, A. P., Van Den Brand, M., Holmes, D. R., Mack, M., Feldman, T., Colombo, A., Ståhle, E., James, S., Carrié, D., Fournial, G., Van Es, G. A., Dawkins, K. D., ... Serruys, P. W. (2013). The CABG SYNTAX score - An angiographic tool to grade the complexity of coronary disease following coronary artery bypass graft surgery: From the SYNTAX left main angiographic (SYNTAX-LE MANS) substudy. EuroIntervention, 8(11), 1277-1285.