Validation of the SYNTAX Revascularization Index to Quantify Reasonable Level of Incomplete Revascularization After Percutaneous Coronary Intervention

Philippe Généreux, Carlos M. Campos, Vasim Farooq, Christos V. Bourantas, Friedrich W. Mohr, Antonio Colombo, Marie Angèle Morel, Ted E. Feldman, David R. Holmes, Michael J. Mack, Marie Claude Morice, A. Pieter Kappetein, Tullio Palmerini, Gregg W. Stone, Patrick W. Serruys

Research output: Contribution to journalArticle

Abstract

Incomplete revascularization is common after percutaneous coronary intervention (PCI). Whether a "reasonable" degree of incomplete revascularization is associated with a similar favorable long-term prognosis compared with complete revascularization remains unknown. We sought to quantify the proportion of coronary artery disease burden treated by PCI and evaluate its impact on outcomes using a new prognostic instrument - the Synergy Between PCI with Taxus and Cardiac Surgery (SYNTAX) Revascularization Index (SRI). The baseline SYNTAX score (bSS), the residual SYNTAX score, and the delta SYNTAX score (ΔSS) were determined from 888 angiograms of patients enrolled in the prospective SYNTAX trial. The SRI was then calculated for each patient using the following formula: SRI = (ΔSS/bSS]) × 100. Outcomes were examined according to the proportion of revascularized myocardium (SRI = 100% [complete revascularization], 50% to

Original languageEnglish
Article number21105
Pages (from-to)174-186
Number of pages13
JournalThe American Journal of Cardiology
Volume116
Issue number2
DOIs
Publication statusPublished - Jul 15 2015

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Medicine(all)

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    Généreux, P., Campos, C. M., Farooq, V., Bourantas, C. V., Mohr, F. W., Colombo, A., Morel, M. A., Feldman, T. E., Holmes, D. R., Mack, M. J., Morice, M. C., Kappetein, A. P., Palmerini, T., Stone, G. W., & Serruys, P. W. (2015). Validation of the SYNTAX Revascularization Index to Quantify Reasonable Level of Incomplete Revascularization After Percutaneous Coronary Intervention. The American Journal of Cardiology, 116(2), 174-186. [21105]. https://doi.org/10.1016/j.amjcard.2015.03.056