Impact of Completeness of Revascularization in Complex Coronary Artery Disease as Measured With the SYNTAX Revascularization Index: An SEEDS Substudy

Objectives: We sought to study whether the level of completeness of revascularization as measured by the SYNTAX revascularization index (SRI) independently predicts adverse ischemic events after percutaneous coronary intervention ( PCI) with second-generation drug-eluting stents (DES). Background: The SRI quantifies the proportion of revascularized myocardium. It has been shown to independently predict adverse ischemic events after PCI with first-generation DES. Methods: Among 1,900 patients enrolled in a registry to evaluate safety and effectiveness of everolimus drug-eluting stent (SEEDS) for coronary revascularization, the SRI was calculated and available for 1,851 patients. The patients were stratified into three groups according to the degree of revascularization (SRI = 100% [complete revascularization], SRI = 50 to < 100%, and SRI < 50%). Two-year mortality and major adverse cardiac events (MACE) were compared between the groups. Results: The SRI ranged from 4-100%, with a mean of 85.4%. Complete revascularization was achieved in 1,190 patients, while the SRI was 50% to < 100% in 472 patients and < 50% in 189 patients. Two-year mortality and MACE rates were higher in patients with lower SRI. ROC analysis showed an optimal SRI cutoff of 85% for predicting the 2-year mortality risk. An SRI >= 85% was associated with a similar risk of death to complete revascularization. The SRI independently predicted 2-year mortality and MACE. Conclusions: The SRI predicts mortality and adverse ischemic events in patients with complex CAD who underwent contemporary PCI with second-generation DES. Revascularizing >= 85% of the CAD burden was associated with a good prognosis and should be considered as a reasonable goal. (C) 2017 Wiley Periodicals, Inc.