CCTA-based CABG SYNTAX Score: a tool to evaluate completeness of coronary segment revascularization after bypass surgery.

Autor: Kotoku N; Department of Cardiology, University of Galway, Galway, Ireland., Serruys PW; Department of Cardiology, University of Galway, Galway, Ireland. patrick.w.j.c.serruys@gmail.com.; Cardiovascular Research Centre for Advanced Imaging and Core Lab (CORRIB) Research Centre, University of Galway, University Road, Galway, H91 TK33, Ireland. patrick.w.j.c.serruys@gmail.com., Kageyama S; Department of Cardiology, University of Galway, Galway, Ireland., Garg S; Department of Cardiology, Royal Blackburn Hospital, Blackburn, UK., Masuda S; Department of Cardiology, University of Galway, Galway, Ireland., Ninomiya K; Department of Cardiology, University of Galway, Galway, Ireland., Grau JB; Department of Cardiothoracic Surgery, The Valley Hospital, Ridgewood, NJ, USA., Gupta H; Cardiac Imaging, Valley Health System, Ridgewood, NJ, USA., Agarwal V; Department of Cardiology, Icahn School of Medicine at Mount Sinai, Mount Sinai Morningside, New York, NY, USA., Morel MA; Department of Cardiology, University of Galway, Galway, Ireland., Doenst T; Department of Cardiothoracic Surgery, Friedrich-Schiller-University Jena, University Hospital, Jena, Germany., Schneider U; Department of Cardiothoracic Surgery, Friedrich-Schiller-University Jena, University Hospital, Jena, Germany., Tanaka K; Department of Radiology, Universitair Ziekenhuis Brussel, Brussels, Belgium., LaMeir M; Cardiac Surgery Department, Universitair Ziekenhuis Brussel, VUS, Brussels, Belgium., Mushtaq S; Departments of Perioperative Cardiology and Cardiovascular Imaging, Centro Cardiologico Monzino, IRCCS, Milan, Italy., Gianluca P; Departments of Perioperative Cardiology and Cardiovascular Imaging, Centro Cardiologico Monzino, IRCCS, Milan, Italy.; Department of Biomedical Surgical and Dental Sciences, University of Milan, Milan, Italy., Pompilio G; Departments of Perioperative Cardiology and Cardiovascular Imaging, Centro Cardiologico Monzino, IRCCS, Milan, Italy.; Department of Biomedical Surgical and Dental Sciences, University of Milan, Milan, Italy., Teichgräber U; Department of Radiology, Friedrich Schiller University, Jena University Hospital, Jena, Germany., Puskas J; Department of Cardiovascular Surgery, Mount Sinai Morningside Hospital, New York, USA., Narula J; University of Texas Health Science Center at Houston, Houston, TX, USA., de Mey J; Department of Radiology, Universitair Ziekenhuis Brussel, Brussels, Belgium., Andreini D; Division of Cardiology and Cardiac Imaging, IRCCS Galeazzi Sant'Ambrogio, Milan, Italy.; Department of Biomedical and Clinical Sciences, University of Milan, Milan, Italy., Onuma Y; Department of Cardiology, University of Galway, Galway, Ireland.
Jazyk: angličtina
Zdroj: The international journal of cardiovascular imaging [Int J Cardiovasc Imaging] 2023 Dec; Vol. 39 (12), pp. 2531-2543. Date of Electronic Publication: 2023 Nov 03.
DOI: 10.1007/s10554-023-02978-9
Abstrakt: To describe the updated coronary computed tomographic angiography (CCTA)-based coronary artery bypass graft (CABG) anatomic SYNTAX Score (aSS) and assess its utility and reproducibility for assessing the completeness of revascularization after CABG. The CCTA-CABG aSS is a visual assessment using CCTA post-CABG which quantifies the failure in effectively grafting stenotic coronary segments, and therefore assesses the completeness of surgical revascularization. It is calculated by subtracting the aSS of successfully anastomosed coronary segments from the aSS of the native coronary tree. The inter-observer reproducibility of the CCTA-CABG aSS was evaluated in 45 consecutive patients with three-vessel disease with or without left main disease who underwent a CCTA 30 days (± 7 days) after CABG. The CCTA-CABG aSS was evaluated in 45 consecutive patients with 117 bypass grafts and 152 anastomoses. The median native coronary aSS was 35.0 [interquartile range (IQR) 27.0-41.0], whilst the median CCTA-CABG aSS was 13.0 (IQR 9.0-20.5). The inter-observer level of agreement for the native coronary aSS and the CCTA-CABG aSS were both substantial with respective Kappas of 0.67 and 0.61. The CCTA-CABG aSS was feasible in all patients who underwent CABG for complex coronary artery disease with substantial inter-observer reproducibility, and therefore can be used to quantify the completeness of revascularization after CABG.
(© 2023. The Author(s).)
Databáze: MEDLINE
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