Coronary computed tomography angiography-based SYNTAX score for comprehensive assessment of advanced coronary artery disease

被引：8

作者：

Kageyama, Shigetaka ^{[1
,16
,17
]}

Serruys, Patrick W. ^{[1
,16
,17
]}

Kotoku, Nozomi ^{[1
,16
,17
]}

Garg, Scot ^{[2
]}

Ninomiya, Kai ^{[1
,16
,17
]}

Masuda, Shinichiro ^{[1
,16
,17
]}

Morel, Marie-angele ^{[9
,16
,17
]}

Taylor, Charles A. ^{[3
]}

Rogers, Campbell ^{[3
]}

Thomsen, Brian ^{[4
]}

Pontone, Gianluca ^{[5
]}

Pompilio, Giulio ^{[14
,15
]}

Puskas, John D. ^{[6
]}

Doenst, Torsten ^{[7
]}

La Meir, Mark ^{[8
]}

Teichgraber, Ulf

Gupta, Himanshu ^{[10
]}

De Mey, Johan ^{[11
]}

Andreini, Daniele ^{[12
,13
]}

Onuma, Yoshinobu ^{[1
]}

机构：

[1] Univ Galway, Dept Cardiol, Galway, Ireland

[2] Royal Blackburn Hosp, Dept Cardiol, Blackburn, England

[3] HeartFlow, Mountain View, CA USA

[4] GE Healthcare US, Global Res Team, Milwaukee, WI USA

[5] Ctr Cardiol Monzino IRCCS, Dept Cardiovasc Imaging, Milan, Italy

[6] Mt Sinai Morningside, Dept Cardiovasc Surg, New York, NY USA

[7] Univ Hosp Jena, Dept Cardiothorac Surg, Jena, Germany

[8] VUB, Univ Ziekenhuis Brussels, Cardiac Surg Dept, Brussels, Belgium

[9] Univ Hosp Jena, Dept Radiol, Jena, Germany

[10] Valley Hlth Syst, Cardiac Imaging, Ridgewood, NJ USA

[11] Univ Ziekenhuis Brussels, Dept Radiol, Brussels, Belgium

[12] IRCCS Galeazzi St Ambrogio, Div Cardiol & Cardiac Imaging, Milan, Italy

[13] Univ Milan, Dept Biomed & Clin Sci, Milan, Italy

[14] Ctr Cardiol Monzino IRCCS, Unit Vasc Biol & Regenerat Med, Milan, Italy

[15] Univ Milan, Dipartimento Sci Clin Chirurg & Odontoiatr, Milan, Italy

[16] Univ Galway, CORRIB Res Ctr Adv Imaging, Galway, Ireland

[17] Univ Galway, Core Lab, Galway, Ireland

来源：

JOURNAL OF CARDIOVASCULAR COMPUTED TOMOGRAPHY | 2024年 / 18卷 / 02期

关键词：

Anatomic SYNTAX score; Coronary artery bypass graft; Revascularization; Complex coronary artery disease; TOTAL OCCLUSION; CT ANGIOGRAPHY; REVASCULARIZATION; VALIDATION; GUIDELINES; SOCIETY;

D O I：

10.1016/j.jcct.2023.10.012

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background: Since the initial attempt to adapt the anatomical SYNTAX score (aSS) to coronary computed tomography angiography (CCTA), CCTA imaging technology has evolved, and is currently used as a "decisionmaker" for revascularization strategy in complex coronary artery disease (CAD) and has rendered necessary some updating of the aSS to the CCTA modality. Objectives: The aim is to provide updated definitions of the aSS derived from CCTA in patients with complex CAD undergoing CABG. Methods: The modifications of CCTA-aSS are the following; (i) updated definition and detection criteria of total occlusion (TO) in CCTA based on length assessment, (ii) inclusion of scoring points for serial bifurcations located in one single coronary segment. (iii) inclusion of weighing score points for lesions located distal to a TO, not visualized on conventional coronary angiography, but visible in CCTA, (iv) removal of thrombus and bridging collateral items from the weighing score, considering the limited diagnostic capability of CCTA in detecting these specific lesion characteristics. Results: the updated CCTA-aSS was tested in a first -in -man study using the sole guidance of CCTA for the planning and performance of bypass surgery in complex CAD (n = 114). An interobserver analysis showed excellent reproducibility (ICC = 0.96, 95 % confidence interval 0.94-0.97). Conclusion: The updated CCTA-aSS was implemented in a cohort of patients with complex CAD undergoing CABG with the sole guidance of CCTA and FFRCT and the Inter-reproducibility of the analysis of the updated score was found excellent. The prognostic value of the modified CCTA-aSS will be examined in future studies.

引用

页码：120 / 136

页数：17

共 21 条

[1] Pre-procedural planning of coronary revascularization by cardiac computed tomography: An expert consensus document of the Society of Cardiovascular Computed Tomography [J].

Andreini, Daniele ;

Collet, Carlos ;

Leipsic, Jonathon ;

Nieman, Koen ;

Bittencurt, Marcio ;

De Mey, Johan ;

Buls, Nico ;

Onuma, Yoshinobu ;

Mushtaq, Saima ;

Conte, Edoardo ;

Bartorelli, Antonio L. ;

Stefanini, Giulio ;

Sonck, Jeroen ;

Knaapen, Paul ;

Ghoshhajra, Brian ;

Serruys, Patrick W. .

EUROINTERVENTION, 2022, 18 (11) :872-+

[2] Guiding Principles for Chronic Total Occlusion Percutaneous Coronary Intervention A Global Expert Consensus Document [J].

Brilakis, Emmanouil S. ;

Mashayekhi, Kambis ;

Tsuchikane, Etsuo ;

Rafeh, Nidal Abi ;

Alaswad, Khaldoon ;

Araya, Mario ;

Avran, Alexandre ;

Azzalini, Lorenzo ;

Babunashvili, Avtandil M. ;

Bayani, Baktash ;

Bhindi, Ravinay ;

Boudou, Nicolas ;

Boukhris, Marouane ;

Bozinovic, Nenad Z. ;

Bryniarski, Leszek ;

Bufe, Alexander ;

Buller, Christopher E. ;

Burke, Nicholas ;

Buettner, Heinz Joachim ;

Cardoso, Pedro ;

Carlino, Mauro ;

Christiansen, Evald H. ;

Colombo, Antonio ;

Croce, Kevin ;

Damas de los Santos, Felix ;

De Martini, Tony ;

Dens, Joseph ;

Di Mario, Carlo ;

Dou, Kefei ;

Egred, Mohaned ;

ElGuindy, Ahmed M. ;

Escaned, Javier ;

Furkalo, Sergey ;

Gagnor, Andrea ;

Galassi, Alfredo R. ;

Garbo, Roberto ;

Ge, Junbo ;

Goel, Pravin Kumar ;

Goktekin, Omer ;

Grancini, Luca ;

Grantham, J. Aaron ;

Hanratty, Colm ;

Harb, Stefan ;

Harding, Scott A. ;

Henriques, Jose P. S. ;

Hill, Jonathan M. ;

Jaffer, Farouc A. ;

Jang, Yangsoo ;

Jussila, Risto ;

Kalnins, Artis .

CIRCULATION, 2019, 140 (05) :420-433

[3] Training and validation of a deep learning architecture for the automatic analysis of coronary angiography [J].

Du, Tianming ;

Xie, Lihua ;

Zhang, Honggang ;

Liu, Xuqing ;

Wang, Xiaofei ;

Chen, Donghao ;

Xu, Yang ;

Sun, Zhongwei ;

Zhou, Wenhui ;

Song, Lei ;

Guan, Changdong ;

Lansky, Alexandra J. ;

Xu, Bo .

EUROINTERVENTION, 2021, 17 (01) :32-+

[4] Computed Tomography in Total coronary Occlusions (CTTO Registry): radiation exposure and predictors of successful percutaneous intervention [J].

Garcia-Garcia, Hector M. ;

van Mieghem, Carlos A. G. ;

Gonzalo, Nieves ;

Meijboom, Willem B. ;

Weustink, Annick C. ;

Onuma, Yoshinobu ;

Mallet, Nico R. ;

Schultz, Carl Johann ;

Meliga, Emanuele ;

van der Ent, Martin ;

Sianos, Giorgios ;

Goedhart, Dick ;

den Boer, Ad ;

de Feyter, Pim ;

Serruys, Patrick W. .

EUROINTERVENTION, 2009, 4 (05) :607-616

[5] Safety and feasibility evaluation of planning and execution of surgical revascularisation solely based on coronary CTA and FFRCT in patients with complex coronary artery disease: study protocol of the FASTTRACK CABG study [J].

Kawashima, Hideyuki ;

Pompilio, Giulio ;

Andreini, Daniele ;

Bartorelli, Antonio L. ;

Mushtaq, Saima ;

Ferrari, Enrico ;

Maisano, Francesco ;

Buechel, Ronny R. ;

Tanaka, Kaoru ;

La Meir, Mark ;

De Mey, Johan ;

Schneider, Ulrich ;

Doenst, Torsten ;

Teichgraber, Ulf ;

Stone, Gregg W. ;

Sharif, Faisal ;

de Winter, Robbert ;

Thomsen, Brian ;

Taylor, Charles ;

Rogers, Campbell ;

Leipsic, Jonathon ;

Wijns, William ;

Onuma, Yoshinobu ;

Serruys, Patrick W. .

BMJ OPEN, 2020, 10 (12)

[6] 2021 ACC/AHA/SCAI Guideline for Coronary Artery Revascularization: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines [J].

Lawton, Jennifer S. ;

Tamis-Holland, Jacqueline E. ;

Bangalore, Sripal ;

Bates, Eric R. ;

Beckie, Theresa M. ;

Bischoff, James M. ;

Bittl, John A. ;

Cohen, Mauricio G. ;

DiMaio, J. Michael ;

Don, Creighton W. ;

Fremes, Stephen E. ;

Gaudino, Mario F. ;

Goldberger, Zachary D. ;

Grant, Michael C. ;

Jaswal, Jang B. ;

Kurlansky, Paul A. ;

Mehran, Roxana ;

Metkus, Thomas S. Jr Jr ;

Nnacheta, Lorraine C. ;

Rao, Sunil, V ;

Sellke, Frank W. ;

Sharma, Garima ;

Yong, Celina M. ;

Zwischenberger, Brittany A. .

CIRCULATION, 2022, 145 (03) :E18-E114

[7] CORONARY-ARTERY ATHEROSCLEROSIS - SEVERITY OF THE DISEASE, SEVERITY OF ANGINA-PECTORIS AND COMPROMISED LEFT-VENTRICULAR FUNCTION [J].

LEAMAN, DM ;

BROWER, RW ;

MEESTER, GT ;

SERRUYS, P ;

VANDENBRAND, M .

CIRCULATION, 1981, 63 (02) :285-292

[8] SCCT guidelines for the interpretation and reporting of coronary CT angiography: A report of the Society of Cardiovascular Computed Tomography Guidelines Committee [J].

Leipsic, Jonathon ;

Abbara, Suhny ;

Achenbach, Stephan ;

Cury, Ricardo ;

Earls, James P. ;

Mancini, G. B. John ;

Nieman, Koen ;

Pontone, Gianluca ;

Raff, Gilbert L. .

JOURNAL OF CARDIOVASCULAR COMPUTED TOMOGRAPHY, 2014, 8 (05) :342-358

[9] Definitions and Standardized Endpoints for Treatment of Coronary Bifurcations [J].

Lunardi, Mattia ;

Louvard, Yves ;

Lefevre, Thierry ;

Stankovic, Goran ;

Burzotta, Francesco ;

Kassab, Ghassan S. ;

Lassen, Jens F. ;

Darremont, Olivier ;

Garg, Scot ;

Koo, Bon-Kwon ;

Holm, Niels R. ;

Johnson, Thomas W. ;

Pan, Manuel ;

Chatzizisis, Yiannis S. ;

Banning, Adrian ;

Chieffo, Alaide ;

Dudek, Dariusz ;

Hildick-Smith, David ;

Garot, Jerome ;

Henry, Timothy D. ;

Dangas, George ;

Stone, Gregg W. ;

Krucoff, Mitchell W. ;

Cutlip, Donald ;

Mehran, Roxana ;

Wijns, William ;

Sharif, Faisal ;

Serruys, Patrick W. ;

Onuma, Yoshinobu .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2022, 80 (01) :63-88

[10] JCS/JS']JSCVS 2018 Guideline on Revascularization of Stable Coronary Artery Disease [J].

Nakamura, Masato ;

Yaku, Hitoshi ;

Ako, Junya ;

Arai, Hirokuni ;

Asai, Tohru ;

Chikamori, Taishiro ;

Daida, Hiroyuki ;

Doi, Kiyoshi ;

Fukui, Toshihiro ;

Ito, Toshiaki ;

Kadota, Kazushige ;

Kobayashi, Junjiro ;

Komiya, Tatsuhiko ;

Kozuma, Ken ;

Nakagawa, Yoshihisa ;

Nakao, Koichi ;

Niinami, Hiroshi ;

Ohno, Takayuki ;

Ozaki, Yukio ;

Sata, Masataka ;

Takanashi, Shuichiro ;

Takemura, Hirofumi ;

Ueno, Takafumi ;

Yasuda, Satoshi ;

Yokoyama, Hitoshi ;

Fujita, Tomoyuki ;

Kasai, Tokuo ;

Kohsaka, Shun ;

Kubo, Takashi ;

Manabe, Susumu ;

Matsumoto, Naoya ;

Miyagawa, Shigeru ;

Mizuno, Tomohiro ;

Motomura, Noboru ;

Numata, Satoshi ;

Nakajima, Hiroyuki ;

Oda, Hirotaka ;

Otake, Hiromasa ;

Otsuka, Fumiyuki ;

Sasaki, Ken-Ichiro ;

Shimada, Kazunori ;

Shimokawa, Tomoki ;

Shinke, Toshiro ;

Suzuki, Tomoaki ;

Takahashi, Masao ;

Tanaka, Nobuhiro ;

Tsuneyoshi, Hiroshi ;

Tojo, Taiki ;

Une, Dai ;

Wakasa, Satoru .

CIRCULATION JOURNAL, 2022, 86 (03) :477-588

← 1 2 3 →