冠状动脉CTA-SYNTAX评分与冠状动脉造影SYNTAX评分的相关性

Correlation between coronary CTA-SYNTAX score and invasive coronary angiography-SYNTAX score

评估冠状动脉病变的复杂程度在冠心病诊治过程中具有重要意义。基于侵入性冠状动脉造影(invasive coronary angiography,ICA)的SYNTAX评分(以下简称ICA-SYNTAX评分),在复杂冠状动脉病变的血运重建选择及不良事件预测等方面有着积极作用。冠状动脉CT血管造影(coronary computed tomography angiography,CCTA)技术的发展促进了基于冠状动脉CTA的SYNTAX评分(以下简称CCTA-SYNTAX评分)在临床上的应用,也丰富了冠心病患者的检查方式。CCTA-SYNTAX评分具有无创、操作简便、可重复性好、费用相对低廉等优势,使其能在冠心病诊断应用中发挥越来越大的作用。多项国外研究证实CCTA-SYNTAX评分与ICA-SYNTAX评分具有极高的相关性,这进一步促进了CCTA-SYNTAX评分在经皮冠状动脉介入治疗(percutaneous coronary intervention,PCI)或冠状动脉旁路移植术治疗(coronary artery bypass grafting,CABG)的血运重建及不良事件预测中的研究。因此,CCTA-SYNTAX评分可成为ICA-SYNTAX评分的辅助方式,作为冠心病患者术前评估及术后复查的首选检查。

It is important to evaluate the complex coronary artery disease in the diagnosis and treatment of coronary heart disease.The SYNTAX score based on invasive coronary angiography(ICA)(also referred to as ICA-SYNTAX score)plays a positive role in the selection of revascularization of complex coronary artery disease and the prediction of adverse events.The development of coronary computed tomography angiography(CCTA)technology promotes the clinical application of SYNTAX score(CCTA-SYNTAX score)based on coronary CTA,and also enriches the examination methods of patients with coronary heart disease.The CCTA-SYNTAX score has the advantages of non-invasiveness,simple operation,good reproducibility,and relatively low cost,which can make it play an increasingly important role in the diagnosis of coronary heart disease.A number of foreign studies have confirmed that CCTA-SYNTAX score is highly correlated with ICASYNTAX score,which further promotes the study of CCTA-SYNTAX score in revascularization of percutaneous coronary intervention(PCI)or coronary artery bypass grafting(CABG)and adverse event prediction.Therefore,the CCTA-SYNTAX score can be an auxiliary method for the ICA-SYNTAX score,as the first choice for preoperative evaluation and postoperative review of patients with coronary heart disease.