Fallacies and Possible Remedies of the SYNTAX Score

Quite a few studies have revealed the clinical values regarding the outcome predictions in the cohort of the Synergy between Percutaneous Coronary Intervention with Taxus and Cardiac Surgery (SYNTAX) trial and decision-making with the SYNTAX score. The Evaluation of Xience Everolimus-Eluting Stent V...

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Main Authors: Yong-Ming He, Li Shen, Jun-Bo Ge
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Journal of Interventional Cardiology
Online Access:http://dx.doi.org/10.1155/2020/8822308
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author Yong-Ming He
Li Shen
Jun-Bo Ge
author_facet Yong-Ming He
Li Shen
Jun-Bo Ge
author_sort Yong-Ming He
collection DOAJ
description Quite a few studies have revealed the clinical values regarding the outcome predictions in the cohort of the Synergy between Percutaneous Coronary Intervention with Taxus and Cardiac Surgery (SYNTAX) trial and decision-making with the SYNTAX score. The Evaluation of Xience Everolimus-Eluting Stent Versus Coronary Artery Bypass Surgery for Effectiveness of Left-Main Revascularization (EXCEL) and Nordic-Baltic-British left main revascularization (NOBLE) studies are the largest international randomized studies so far, comparing percutaneous coronary intervention (PCI) and coronary artery bypass graft (CABG) in the treatment of left main coronary artery disease. Unfortunately, both studies failed to validate the value of the SYNTAX score in the selection of revascularization strategies for patients with coronary artery diseases (CAD).. This scenario prompted us to reconsider the inherent fallacies of the SYNTAX score in its derivation. We pointed out eight fallacies for the SYNTAX score in this paper. A recently developed Coronary Artery Tree description and Lesion EvaluaTion (CatLet) score, available at http://www.catletscore.com, a novel angiographic scoring system, could be the remedies for the SYNTAX score.
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spelling doaj-art-6cc883df7d3743209622b309f5dbd8232025-02-03T01:00:13ZengWileyJournal of Interventional Cardiology0896-43271540-81832020-01-01202010.1155/2020/88223088822308Fallacies and Possible Remedies of the SYNTAX ScoreYong-Ming He0Li Shen1Jun-Bo Ge2Division of Cardiology, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, ChinaDepartment of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, Shanghai, ChinaDepartment of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, Shanghai, ChinaQuite a few studies have revealed the clinical values regarding the outcome predictions in the cohort of the Synergy between Percutaneous Coronary Intervention with Taxus and Cardiac Surgery (SYNTAX) trial and decision-making with the SYNTAX score. The Evaluation of Xience Everolimus-Eluting Stent Versus Coronary Artery Bypass Surgery for Effectiveness of Left-Main Revascularization (EXCEL) and Nordic-Baltic-British left main revascularization (NOBLE) studies are the largest international randomized studies so far, comparing percutaneous coronary intervention (PCI) and coronary artery bypass graft (CABG) in the treatment of left main coronary artery disease. Unfortunately, both studies failed to validate the value of the SYNTAX score in the selection of revascularization strategies for patients with coronary artery diseases (CAD).. This scenario prompted us to reconsider the inherent fallacies of the SYNTAX score in its derivation. We pointed out eight fallacies for the SYNTAX score in this paper. A recently developed Coronary Artery Tree description and Lesion EvaluaTion (CatLet) score, available at http://www.catletscore.com, a novel angiographic scoring system, could be the remedies for the SYNTAX score.http://dx.doi.org/10.1155/2020/8822308
spellingShingle Yong-Ming He
Li Shen
Jun-Bo Ge
Fallacies and Possible Remedies of the SYNTAX Score
Journal of Interventional Cardiology
title Fallacies and Possible Remedies of the SYNTAX Score
title_full Fallacies and Possible Remedies of the SYNTAX Score
title_fullStr Fallacies and Possible Remedies of the SYNTAX Score
title_full_unstemmed Fallacies and Possible Remedies of the SYNTAX Score
title_short Fallacies and Possible Remedies of the SYNTAX Score
title_sort fallacies and possible remedies of the syntax score
url http://dx.doi.org/10.1155/2020/8822308
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