Is Complete Revascularisation Mandated for all Patients with Multivessel Coronary Artery Disease?

ABSTRACT: In multivessel coronary artery disease (MVCAD), myocardial revascularisation can be achieved by percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG), with complete revascularisation on all diseased coronary segments or with incomplete revascularisation on selectively targeted lesions. Complete revascularisation confers a long-term prognostic benefit, but is associated with a higher rate of periprocedural events compared with incomplete revascularisation. In most patients with MVCAD, the main advantage of CABG over PCI is conferred by the achievement of more extensive revascularisation. According to current international guidelines, PCI is generally preferred in single-vessel disease, low-risk MVCAD or isolated left main disease; whereas CABG is usually recomme

SUBMITTER: De Innocentiis C 

PROVIDER: S-EPMC5872375 | biostudies-literature | 2018 Jan

REPOSITORIES: biostudies-literature