Contemporary and evolving risk scoring algorithms for percutaneous coronary intervention

@article{Farooq2011ContemporaryAE,
  title={Contemporary and evolving risk scoring algorithms for percutaneous coronary intervention},
  author={Vasim Farooq and Salvatore Brugaletta and Patrick Wjc Serruys},
  journal={Heart},
  year={2011},
  volume={97},
  pages={1902 - 1913}
}
Risk stratification is an essential part of appropriately informing patients electing to undergo percutaneous coronary intervention (PCI). This process is also an integral part of the SYNTAX (Synergy between PCI with Taxus and Cardiac Surgery)-pioneered heart team approach in determining the most appropriate revascularisation modality for patients with complex coronary artery disease. The SYNTAX score was pioneered as an anatomical-based risk score to aid in this decision-making process; the… Expand
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Risk scores in acute coronary syndrome and percutaneous coronary intervention: a review.
TLDR
The aim of this review is to evaluate the most recognized and studied ACS/PCI risk models, focusing on their strengths and limitations, and to assess the need for more robust tools to predict outcomes in a period of constantly advancing technologies and changing patient demographics. Expand
Bypass Grafting Versus Percutaneous Intervention-Which Is Better in Multivessel Coronary Disease: Lessons From SYNTAX and Beyond.
The landmark Synergy between Percutaneous Coronary Intervention with Taxus and Cardiac Surgery (SYNTAX) Trial has aided in reducing the area of uncertainty in decision-making between percutaneous… Expand
Current Risk Scores for the Establishment of the Best Myocardial Revascularization Methods
TLDR
Comparisons between various scores demonstrate that the combination of various scores has the best prediction ability, especially when the quantification algorithm of score is based on the clinical data of patient and, nonetheless, the angiographic criterion. Expand
Combined anatomical and clinical factors for the long-term risk stratification of patients undergoing percutaneous coronary intervention: the Logistic Clinical SYNTAX score.
TLDR
The Logistic Clinical SXscore substantially enhances the prediction of 1-year mortality after PCI compared with the SXscore, and allows for an accurate personalized assessment of patient risk. Expand
Anatomical and clinical characteristics to guide decision making between coronary artery bypass surgery and percutaneous coronary intervention for individual patients: development and validation of SYNTAX score II
TLDR
Long-term (4-year) mortality in patients with complex coronary artery disease can be well predicted by a combination of anatomical and clinical factors in SYNTAX score II, which can better guide decision making between CABG and PCI than the original anatomical SYN TAX score. Expand
Widening clinical applications of the SYNTAX Score
TLDR
The purpose of this review is to systematically examine the widening applications of tools based on the SYNTAX Score by improving the diagnostic accuracy of the SYnTAX score by adding a functional assessment of lesions. Expand
High-risk percutaneous coronary intervention: how to define it today?
TLDR
Treating high-risk patients is becoming increasingly relevant, to the point that current guidelines now particularly highlight the appropriateness of percutaneous interventions in this setting, as compared to the low-risks patients. Expand
Treatment of Higher-Risk Patients With an Indication for Revascularization: Evolution Within the Field of Contemporary Percutaneous Coronary Intervention
TLDR
It is critical to develop dedicated specialists within interventional cardiology who are trained with the cognitive and technical skills to select these patients appropriately and to perform these procedures safely, and knowledge gaps and future directions to improve outcomes are discussed. Expand
The rationale for Heart Team decision-making for patients with stable, complex coronary artery disease.
TLDR
It is shown that a multidisciplinary Heart Team consisting of at least a clinical/non-invasive cardiologist, interventional heart surgeon, and cardiac surgeon can together better analyse and interpret the available diagnostic evidence, put into context the clinical condition of the patient, and arrive at a most optimal joint treatment strategy recommendation for patients with stable complex coronary artery disease. Expand
Prediction of 1-year mortality in patients with acute coronary syndromes undergoing percutaneous coronary intervention: validation of the logistic clinical SYNTAX (Synergy Between Percutaneous Coronary Interventions With Taxus and Cardiac Surgery) score.
TLDR
These findings support the clinical application of the Logistic Clinical SYNTAX score and demonstrate the increasing ability to correctly identify patients who would die at 1 year with the Extended Model versus the Core Model, over a wide range of thresholds for mortality risk predictions. Expand
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References

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