What are the considerations for revascularization decisions?
When making revascularization decisions, considerations include physiological criteria such as an assessment of fractional flow reserve, and the results of the SYNTAX (Synergy between Percutaneous Coronary Intervention with TAXUS and Cardiac Surgery) study. The SYNTAX score is a reasonable surrogate for the extent of CAD and its complexity and serves as important information that should be considered when making revascularization decisions. Revascularization recommendations have been formulated to address issues related to improved survival and/or improved symptoms. When one method of revascularization is preferred over the other for improved survival, this consideration takes precedence over improved symptoms.