s Relationship between SYNTAX score and Trans-Atlantic Inter-Society Consensus II classification in patients undergoing diagnostic angiography

Abstract

IntroductionPeripheral artery disease (PAD) is a marker of systemic atherosclerosis and most patients with PAD also have concomitant coronary artery disease (CAD).AimThere are no published data investigating the relationship between PAD and CAD complexity assessed by a well-accepted classification system such as the SYNTAX score (SS) or Trans-Atlantic Inter-Society Consensus II (TASC II).Material and methodsThe study population consisted of 72 patients who underwent coronary angiography for the assessment of CAD. At the same session, peripheral angiography was performed in cases of suspected PAD. A coronary lesion was defined as significant if it caused a 50% reduction of the luminal diameter by visual estimation in vessels ≥ 1.5 mm. The SYNTAX score was computed by dedicated software.ResultsPatients with peripheral artery disease were divided into four groups according to the Trans-Atlantic Inter-Society Consensus II classification. Numbers of patients with peripheral artery disease classified as A, B, C, and D by the Trans-Atlantic Inter-Society Consensus II classification were 27, 16, 18 and 11, respectively. SYNTAX scores for each group from A to D were 10 ±9, 11 ±10, 24 ±13 and 27 ±12, respectively; p for trend < 0.001.ConclusionsHigher Trans-Atlantic Inter-Society Consensus II classification is associated with higher SYNTAX score in patients who underwent coronary and peripheral diagnostic angiography. It may suggest that arterial atherosclerotic disease complexity is a systemic panvascular phenomenon.

Comparison of the Framingham risk and score models in predicting the presence and severity of coronary artery disease considering SYNTAX score

“…Nevertheless, Marchant et al ( 24 ) suggested that the SCORE model should be preferred to the Framingham model to predict the risk cardiovascular death in a French population. Erkan et al ( 25 ) evaluated the association between peripheral artery disease and coronary artery disease considering two interventional score models such as the SYNTAX score and Trans-Atlantic Inter-Society Consensus II classification. In the current study, we evaluated the reliability and applicability of the two risk stratification models in deference to the SYNTAX score.…”

Prediction of coronary artery disease severity in lower extremity artery disease patients: A correlation study of TASC II classification, Syntax and Syntax II scores

“…The determination of which lower limb arterial segment critical stenosis is the most predictive arterial zone for estimating severe CAD was also sought. Although there are few studies in this regard, they have been conducted by evaluating only the aortoiliac segment via Trans-Atlantic Inter-Society Consensus (TASC) II classification and the extent of CAD was only evaluated using the Syntax score [3,4].…”

Focus on Prevention: Peripheral Arterial Disease and the Central Role of the Cardiologist

“…In a Swedish observational study, the Cox proportional hazard model revealed an almost doubled 10-year risk of CV mortality in asymptomatic patients (HR 1.9), an HR of 2.6 in patients with intermittent claudication (IC) and an HR of 3.5 in patients with severe limb ischemia [ 18 ]. LE-PAD and its severity also predict the extension and complexity of CAD: ABI can be employed as a useful predictor for CAD complexity assessed by SYNTAX Score [ 19 ], and a higher Trans-Atlantic Inter-Society Consensus II classification is also associated with a higher SYNTAX Score [ 20 ].…”