Incomplete Revascularization

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Reasonable incomplete revascularization.

Incomplete coronary artery revascularization could increase the risk of death, myocardial infarction, repeat revascularization, and lifestyle-limiting angina. Data to support this hypothesis extend back to the early 1980s, when patients with incomplete surgical revascularization had an absolute 15% reduction in 5-year survival in comparison with patients with complete revascularization.1,2 This...

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The dueling hazards of incomplete revascularization and incomplete data.

Although the survival benefit of complete revascularization after bypass surgery is well documented, the importance of opening all stenotic or occluded vessels during percutaneous coronary intervention (PCI) is less certain. On the contrary, much data support targeting only the culprit vessel during PCI. A strategy of “ischemic-driven revascularization” is often the standard of care. Through a ...

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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 ...

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Impact of incomplete revascularization following OPCAB surgery.

BACKGROUND AND AIM OF THE STUDY The aim of this study was to evaluate the early and mid-term off-pump coronary artery bypass surgery (OPCAB) results in a single surgical unit, assessing the impact of completeness of revascularization. METHODS Three hundred and twelve patients underwent OPCAB between August 2000 and January 2005. In-hospital data were collected prospectively for all patients u...

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Multivessel disease: 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 ...

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ژورنال

عنوان ژورنال: Journal of the American College of Cardiology

سال: 2017

ISSN: 0735-1097

DOI: 10.1016/j.jacc.2016.07.790