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Kotoku N, Serruys PW, Kageyama S, Garg S, Masuda S, Ninomiya K, Grau JB, Gupta H, Agarwal V, Morel MA, Doenst T, Schneider U, Tanaka K, LaMeir M, Mushtaq S, Gianluca P, Pompilio G, Teichgräber U, Puskas J, Narula J, de Mey J, Andreini D, Onuma Y. CCTA-based CABG SYNTAX Score: a tool to evaluate completeness of coronary segment revascularization after bypass surgery. Int J Cardiovasc Imaging 2023; 39:2531-2543. [PMID: 37921898 PMCID: PMC10692266 DOI: 10.1007/s10554-023-02978-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/05/2023] [Accepted: 09/29/2023] [Indexed: 11/05/2023]
Abstract
To describe the updated coronary computed tomographic angiography (CCTA)-based coronary artery bypass graft (CABG) anatomic SYNTAX Score (aSS) and assess its utility and reproducibility for assessing the completeness of revascularization after CABG. The CCTA-CABG aSS is a visual assessment using CCTA post-CABG which quantifies the failure in effectively grafting stenotic coronary segments, and therefore assesses the completeness of surgical revascularization. It is calculated by subtracting the aSS of successfully anastomosed coronary segments from the aSS of the native coronary tree. The inter-observer reproducibility of the CCTA-CABG aSS was evaluated in 45 consecutive patients with three-vessel disease with or without left main disease who underwent a CCTA 30 days (± 7 days) after CABG. The CCTA-CABG aSS was evaluated in 45 consecutive patients with 117 bypass grafts and 152 anastomoses. The median native coronary aSS was 35.0 [interquartile range (IQR) 27.0-41.0], whilst the median CCTA-CABG aSS was 13.0 (IQR 9.0-20.5). The inter-observer level of agreement for the native coronary aSS and the CCTA-CABG aSS were both substantial with respective Kappas of 0.67 and 0.61. The CCTA-CABG aSS was feasible in all patients who underwent CABG for complex coronary artery disease with substantial inter-observer reproducibility, and therefore can be used to quantify the completeness of revascularization after CABG.
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Affiliation(s)
- Nozomi Kotoku
- Department of Cardiology, University of Galway, Galway, Ireland
| | - Patrick W Serruys
- Department of Cardiology, University of Galway, Galway, Ireland.
- Cardiovascular Research Centre for Advanced Imaging and Core Lab (CORRIB) Research Centre, University of Galway, University Road, Galway, H91 TK33, Ireland.
| | | | - Scot Garg
- Department of Cardiology, Royal Blackburn Hospital, Blackburn, UK
| | | | - Kai Ninomiya
- Department of Cardiology, University of Galway, Galway, Ireland
| | - Juan B Grau
- Department of Cardiothoracic Surgery, The Valley Hospital, Ridgewood, NJ, USA
| | - Himanshu Gupta
- Cardiac Imaging, Valley Health System, Ridgewood, NJ, USA
| | - Vikram Agarwal
- Department of Cardiology, Icahn School of Medicine at Mount Sinai, Mount Sinai Morningside, New York, NY, USA
| | | | - Torsten Doenst
- Department of Cardiothoracic Surgery, Friedrich-Schiller-University Jena, University Hospital, Jena, Germany
| | - Ulrich Schneider
- Department of Cardiothoracic Surgery, Friedrich-Schiller-University Jena, University Hospital, Jena, Germany
| | - Kaoru Tanaka
- Department of Radiology, Universitair Ziekenhuis Brussel, Brussels, Belgium
| | - Mark LaMeir
- Cardiac Surgery Department, Universitair Ziekenhuis Brussel, VUS, Brussels, Belgium
| | - Saima Mushtaq
- Departments of Perioperative Cardiology and Cardiovascular Imaging, Centro Cardiologico Monzino, IRCCS, Milan, Italy
| | - Pontone Gianluca
- Departments of Perioperative Cardiology and Cardiovascular Imaging, Centro Cardiologico Monzino, IRCCS, Milan, Italy
- Department of Biomedical Surgical and Dental Sciences, University of Milan, Milan, Italy
| | - Giulio Pompilio
- Departments of Perioperative Cardiology and Cardiovascular Imaging, Centro Cardiologico Monzino, IRCCS, Milan, Italy
- Department of Biomedical Surgical and Dental Sciences, University of Milan, Milan, Italy
| | - Ulf Teichgräber
- Department of Radiology, Friedrich Schiller University, Jena University Hospital, Jena, Germany
| | - John Puskas
- Department of Cardiovascular Surgery, Mount Sinai Morningside Hospital, New York, USA
| | - Jagat Narula
- University of Texas Health Science Center at Houston, Houston, TX, USA
| | - Johan de Mey
- Department of Radiology, Universitair Ziekenhuis Brussel, Brussels, Belgium
| | - Daniele Andreini
- Division of Cardiology and Cardiac Imaging, IRCCS Galeazzi Sant'Ambrogio, Milan, Italy
- Department of Biomedical and Clinical Sciences, University of Milan, Milan, Italy
| | - Yoshinobu Onuma
- Department of Cardiology, University of Galway, Galway, Ireland
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Yu T, Chen Z, Li M. Letter to the editor regarding 'deep learning for vessel-specific coronary artery calcium scoring: validation on a multi-centre dataset'. Eur Heart J Cardiovasc Imaging 2022; 24:e25. [PMID: 36208191 DOI: 10.1093/ehjci/jeac203] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/13/2022] [Accepted: 09/15/2022] [Indexed: 12/24/2022] Open
Affiliation(s)
- Tianfei Yu
- Department of Biotechnology, College of Life Science and Agriculture and Forestry, Qiqihar University, Qiqihar 161006, China.,Heilongjiang Provincial Key Laboratory of Resistance Gene Engineering and Protection of Biodiversity in Cold Areas, College of Life Science and Agriculture and Forestry, Qiqihar University, Qiqihar 161006, China
| | - Zhuo Chen
- Department of Biotechnology, College of Life Science and Agriculture and Forestry, Qiqihar University, Qiqihar 161006, China.,Heilongjiang Provincial Key Laboratory of Resistance Gene Engineering and Protection of Biodiversity in Cold Areas, College of Life Science and Agriculture and Forestry, Qiqihar University, Qiqihar 161006, China
| | - Ming Li
- Heilongjiang Provincial Key Laboratory of Resistance Gene Engineering and Protection of Biodiversity in Cold Areas, College of Life Science and Agriculture and Forestry, Qiqihar University, Qiqihar 161006, China.,Department of Computer Science and Technology, College of Computer and Control Engineering, Qiqihar University, Qiqihar 161006, China
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