1. A New Angiographic Risk Score in Facilitated PCI
Integrates epicardial and tissue level perfusion
Integrates flow before and after PCI
Simply total the following:
TIMI Flow Grade Before PCI (0-3)
TIMI Myocardial Perfusion Grade Before PCI (0-3)
TIMI Flow Grade After PCI (0-3)
TIMI Myocardial Perfusion Grade After PCI (0-3)
Total Angiographic Risk Score:
Gibson CM, AHJ 2004

2. Relationship of Angiographic Perfusion Score to SPECT Infarct Size & Mortality
35.5%
11.1%
p=0.002
p=0.01
% SPECT Infarct Size
% Death by 30 days
16.2%
12.5%
1.9%
0.0%
Angiographic Perfusion Score
Gibson CM, AHJ 2004

3. Further Risk Stratification Provided by the TMPG among Patients with TIMI 3 Flow or TIMI 2/3 flow
Martinez-Rios MA, Am J Cardiol 2004;93:280–287.

4. Combining TIMI Flow and Perfusion Grades
Martinez-Rios MA, Am J Cardiol 2004;93:280–287.