The role of SYNTAX score in decision-making for preoperative carotid artery screening in patients undergoing coronary artery bypass surgery

Journal of Cardiac Surgery
Serdar AkanselSerap Aykut Aka Md

Abstract

The coexistence of coronary artery disease (CAD) in patients undergoing coronary artery bypass surgery (CABG) is a risk factor for stroke and death. The aim of this study is to evaluate the potential of the SYNTAX score (SXscore) for predicting carotid stenosis in patients undergoing CABG. We retrospectively reviewed 291 patients (225 males, mean age 60.5 ± 8.5 years) who underwent CABG in a single center in 2014 and were screened for carotid artery preoperatively. The total SXscore was obtained by scoring every luminal narrowing greater than 50% in coronary vessels larger than 1.5 mm using the SXscore algorithm. Correlations between the severity of carotid stenosis and SXscore were analyzed. As the degree of carotid artery stenosis increases (≤%50; ≥%50 vs ≥%70), the mean SXscore (19.06 ± 7.72, P > 0,05; 28.40 ± 6.89, P < 0,01; 31.02 ± 7.04, P < 0.01, respectively) were found to increase. Receiver operating characteristic analysis revealed a cut-off point of 27 or more in SXscore according to the presence of carotid stenosis greater than or equal to %70. The risk of existence of significant carotid stenosis was 58-fold greater in cases with SXscore greater than or equal to 27. In cases with SXscore greater than or equal to 27,...Continue Reading

References

Jul 7, 2001·Stroke; a Journal of Cerebral Circulation·S C StamouP J Corso
Apr 6, 2004·Journal of the American College of Cardiology·Osamu HondaHisao Ogawa
Sep 2, 2009·European Heart Journal·Mark J AlbertsUNKNOWN REduction of Atherothrombosis for Continued Health Registry Investigators
Dec 17, 2010·Circulation·Véronique L RogerUNKNOWN American Heart Association Statistics Committee and Stroke Statistics Subcommittee
Feb 12, 2011·Journal of the American College of Cardiology·Arie SteinvilAmir Halkin
Jul 20, 2012·International Journal of Cardiology·Rachel Nicoll, Michael Y Henein
Oct 11, 2016·Korean Circulation Journal·Anil AvciRamazan Kargın

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Citations

Jul 4, 2019·Journal of Cardiac Surgery·Jeffrey Shi Kai ChanAmer Harky

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