State-of-the-art development of anatomical and clinical-anatomical scores for choosing a myocardial revascularization strategy based on the SYNTAX study

Treatment of patients with multivessel coronary artery disease is percutaneous intervention or bypass grafting according to current European and American guidelines. Depending on the anatomical complexity lesion, one methods chosen, usage a risk scale based SYNTAX study. However, Syntax score actively discussed as not an optimal scale, because unmatched modern clinical possibilities This article presents current, different opinions clino-anatomical scores, which allows choose method revascularization for three-vessel and/or left main lesions.