Revascularization Strategy for Proximal LAD Disease

Revascularization Strategy for Proximal LAD Disease

SEE PAGE 2717 S ignificant proximal left anterior descending artery (LAD) disease may jeopardize up to 50% of the left ventricular myocardium (1) and predicts worse outcomes (2), with a significantly worse 5-year patient survival rate (90% vs. 98%) than downstream LAD lesions (3). In the 1990s, randomized controlled trials (RCTs) showed that all treatment modalities, namely, medical therapy, pe...

Hybrid coronary revascularization: a mainstream revascularization strategy in the future?

In stable patients with multivessel coronary artery disease (CAD), coronary bypass operation (coronary artery bypass grafting [CABG]) has been found to be superior to percutaneous coronary intervention (PCI) using drug-eluting stents (DES) [1–3]. The finding is based on wellpowered randomized studies [4,5] and large-scale registries [6,7]. The superiority of CABG is demonstrated by lower shorta...

Surgical infrainguinal revascularization for peripheral arterial disease: factors affecting patency rate

Background: Peripheral arterial disease is a source of morbidity and mortality. Surgical vascular reconstruction is a treatment option but probability of failure and complications are important concerns. In this study, we evaluated outcome of surgical infrainguinal reconstruction and factors affecting graft patency for a period of one year. Methods: In this cohort study, 85 consecutive patie...

Utilizing Risk Scores in Determining the Optimal Revascularization Strategy for Complex Coronary Artery Disease

Percutaneous coronary intervention (PCI) of multivessel and/or left main stem disease have been shown to be potentially legitimate revascularization alternatives in appropriately selected patients. Risk stratification is an important component in guiding patients to identify the most appropriate revascularization modality (PCI or coronary artery bypass grafting [CABG]) in conjunction with the H...

Carotid Artery Revascularization: What's the Best Strategy?