Complete Revascularization

Complete revascularization in contemporary practice.

Complete revascularization: a quality-performance metric?

Current U.S. and European guidelines recommend coronary artery bypass graft (CABG) over percutaneous coronary intervention (PCI) for multivessel coronary artery disease (CAD) and confer a class IIb (of uncertain benefit) recommendation to PCI for improvement in survival (1,2). Prior studies suggest that the magnitude of clinical benefit attributable to revascularization with either PCI or CABG ...

Complete myocardial revascularization: between myth and reality.

Myocardial revascularization in patients with multi-vessel coronary artery disease may be accomplished, by percutaneous interventions or surgery, either on all diseased lesions or directed to selectively targeted coronary segments. The extent of planned revascularization is often a major determinant of treatment strategy. Revascularization of all diseased coronary segments-complete myocardial r...

From Reasonably Incomplete to Functionally Complete Revascularization

Soon after the introduction of coronary artery bypass surgery, the completeness of revascularization became a matter of concern. Several early surgical studies confirmed the belief that better clinical outcomes were obtained when each and every angiographically visible stenosis was bypassed by a distal anastomosis.1,2 Similarly, among patients with multivessel disease treated with percutaneous ...

Complete myocardial revascularization: between myth and reality

Myocardial revascularization in patients with multi-vessel coronary artery disease may be accomplished, by percutaneous interventions or surgery, either on all diseased lesions or directed to selectively targeted coronary segments. The extent of planned revascularization is often a major determinant of treatment strategy. Revascularization of all diseased coronary segments—complete myocardial r...