To broaden the data supporting the use of the residual SYNTAX score (rSS) to define "reasonable" incomplete coronary revascularization (ICR) in order to improve the allocation of patients with severe coronary artery disease (CAD) to surgical/percutaneous revascularization and long-term clinical outcomes.ICR is associated with a worse prognosis in patients with severe CAD, yet no consensus exists regarding its definition.We studied 148 consecutive patients with triple vessel/left main (3VD/LM) CVD treated by percutaneous coronary interventions (PCI). Clinical outcomes at 3 years were collected; the SS and rSS were calculated. We used various definitions of "reasonable" ICR:no post-PCI total occlusion, single vs. mutivessel residual post-PCI disease, and the rSS at a cutoff value determined according to ROC curve fitted for 3 years major adverse cardiovascular and cerebrovascular adverse events (MACCE) in order to determine which definition has the strongest correlation with long-term outcomes.rSS ≤ 8 was associated with significant reductions in 3 year MACCE (19.4 vs. 51.1

作者：Guy, Witberg；Ifat, Lavi；Abid, Assali；Hana, Vaknin-Assa；Eli, Lev；Ran, Kornowski

来源：Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions 2015 年 86卷 1期