Comparison of the SYNTAX score 2020 based on Coronary Artery Computed Tomography (CCTA) with Invasive Coronary Angiography (ICA)

Abstract Introduction The SYNTAX III REVOLUTION trial demonstrated that clinical decision-making between coronary artery bypass graft (CABG) and percutaneous intervention (PCI) based on computed tomography (CCTA) predicting four years mortality according to the score II had a high agreement with treatment decision derived from invasive angiography (ICA). of novel 2020 (SS-2020) CCTA ICA has not yet been evaluated in prospective fashion. Methods This study included 54 consecutive patients ongoing FASTTRACK CABG investigates making, planning procedural guidance solely FFRct. All underwent ICA, SS-2020 was calculated results anatomical either or respective scores were compared by using paired t-test. Results mean age 67.3±9.7, 48 men (88.9%). Anatomical assessed cases (analysability 100%). 34.3±9.3, 35.5±11.3, respectively (P=0.480). As shown table predicted 5 major adverse cardiac cerebrovascular events (MACCE) following PCI CABG, as well 10 differed significantly. However absolute risk differences (ARD) MACCE comparable. Conclusions High agreements confirmed calculations ICA. Despite significant rates at mortalities years, ARD In terms decision-making, is non-invasive predictive tool comparable one Funding Acknowledgement Type funding sources: None.