Syntax score: The fallacies and remedies—A perspective

Abstract

The syntax score devised as a tool to grade complexity of coronary artery disease with a view to its suitability for PCI or otherwise on deeper introspection is fraught with some inherent limitations and fallacies largely as a result of the variability in coronary anatomy and the fixed nomenclature of the devised scoring system. We, in this special report, bring out the limitations and fallacies in the same and possible remedies presented as a viewpoint which may be useful to the interventional community at large.

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Goel, P. , Khanna, R. , Batra, A. and Syal, S. (2013) Syntax score: The fallacies and remedies—A perspective. World Journal of Cardiovascular Diseases, 3, 448-453. doi: 10.4236/wjcd.2013.37070.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] Hannan, E.L., Wu, C., Walford, G., et al. (2008) Drugeluting stents vs. coronary-artery bypass grafting in multivessel coronary disease. New England Journal of Medicine, 358, 331-341.
http://dx.doi.org/10.1056/NEJMoa071804
[2] Sianos, G., Morel, M.A., Kappetein, A.P., Morice, M.C., Colombo, A., Dawkins, K., van den Brand, M., Van Dyck, N., Russell, M.E., Mohr, F.W. and Serruys, P.W. (2005) The SYNTAX Score: An angiographic tool grading the complexity of coronary artery disease. EuroIntervention, 1, 219-227.
[3] Kappetein, A.P., Feldman, T.E., Colombo, A., et al. (2011) Comparison of coronary bypass surgery with drug-eluting stenting for the treatment of left main and/or three-vessel disease: 30-year follow-up of the SYNTAX trial. European Heart Journal, 32, 2125-2134.
http://dx.doi.org/10.1093/eurheartj/ehr213
[4] Garg, S., Sarno, G., Garcia-Garcia, H.M., et al. (2010) A new tool for the risk stratification of patients with complex coronary artery disease: The clinical SYNTAX score. Circ. Cardiovascular Interventions, 3, 317-326.
http://dx.doi.org/10.1161/CIRCINTERVENTIONS.109.914051
[5] Serruys, P.W., Unger, F., van Hout, B.A., van den Brand, M.J., van Herwerden, L.A., van Es, G.A., Bonnier, J.J., Simon, R., Cremer, J., Colombo, A., Santoli, C., Vandormael, M., Marshall, P.R., Madonna, O., Firth, B.G., Breeman, A., Morel, M.A. and Hugenholtz, P.G. (1999) The ARTS study (Arterial Revascularization Therapies Study). Seminars in Interventional Cardiology, 4, 209-219.
[6] Leaman, D.M., Brower, R.W., Meester, G.T., Serruys, P. and van den Brand, M. (1981) Coronary artery atherosclerosis: Severity of the disease, severity of angina pectoris and compromised left ventricular function. Circulation, 63, 285-299.
http://dx.doi.org/10.1161/01.CIR.63.2.285
[7] Hamburger, J.N., Serruys, P.W., Scabra-Gomes, R., Simon, R., Koolen, J.J., Fleck, E., Mathey, D., Sievert, H., Rutsch, W., Buchwald, A., Marco, J., Al-Kasab, S.M., Pizulli, L., Hamm, C., Corcos, T., Reifart, N., Hanrath, P. and Taeymans, Y. (1997) Recanalization of total coronary occlusions using a laser guidewire (the European TOTAL Surveillance Study). American Journal of Cardiology, 80, 1419-1423.
http://dx.doi.org/10.1016/S0002-9149(97)00704-2
[8] Topol, E.J. (1998) Textbook of interventional cardiology, 3rd Edition, WB Saunders Co., Philadelphia, p. 728.
[9] Lefevre, T., Louvard, Y., Morice, M.C., Dumas, P., Loubeyre, C., Benslimane, A., Premchand, R.K., Guillard, N. and Piechaud, J.F. (2000) Stenting of bifurcation lesions: Classification, treatments, and results. Catheterization and Cardiovascular Interventions, 49, 274-283.
http://dx.doi.org/10.1002/(SICI)1522-726X(200003)49:3<274::AID-CCD11>3.0.CO;2-N
[10] Brandt, P.W.T., Partridge, J.B. and White, W.J. (1977) Coronary arteriography: Methods of presentation of the arteriogram report and scoring system. Clinical Radiology, 28, 361-365.
http://dx.doi.org/10.1016/S0009-9260(77)80140-2
[11] Goel, P.K. (1997) A relook at the reporting of coronary angiograms in the interventional era: A perspective. Indian Heart Journal, 49, 323-326.

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