Key result
Review summarizes current perspectives on using SYNTAX and clinical-anatomical scores to guide multivessel revascularization.
Why the study?
The SYNTAX score is actively debated as not an optimal risk scale because it does not match modern clinical possibilities when choosing between PCI and CABG.
Population
Patients with multivessel coronary artery disease, three-vessel disease, and/or left main coronary artery lesions
Comparison
Anatomical and clinical-anatomical risk scores for selecting revascularization strategy
Design
Review article
Authors
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Risk scores like SYNTAX warrant cautious use in multivessel CAD due to limitations; leaves open prospective validation for PCI-CABG decisions.
This review discusses the limitations of the SYNTAX score and presents current opinions on risk scores for choosing between PCI and CABG in patients with complex coronary artery disease.
Alekyan et al. (2022) conducted a review in Multivessel coronary artery disease. Anatomical and clinical-anatomical risk scores (e.g., SYNTAX score) was evaluated. This review presents current opinions on anatomical and clinical-anatomical risk scores, such as the SYNTAX score, for choosing the optimal revascularization method in multivessel coronary disease.
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