From Reasonably Incomplete to Functionally Complete Revascularization
نویسنده
چکیده
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 coronary intervention (PCI), complete revascularization was found to provide a significant advantage over incomplete revascularization in terms of reintervention, myocardial infarction, and death.3,4 However, a careful analysis of surgically treated multivessel disease patients in the Bypass Angioplasty Revascularization Investigation (BARI) trial showed that 1 graft to any system other than the left anterior descending confers no long-term advantage over PCI and may actually be deleterious.5
منابع مشابه
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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To determine whether coronary artery bypass grafting (CABG) with complete revascularization improves survival in patients with multivessel disease (MVD) over CABG with incomplete revascularization, we performed a meta-analysis of adjusted (but not unadjusted) risk estimates from observational studies. Databases including MEDLINE and EMBASE were searched through October 2013 using Web-based sear...
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I n patients who have multivessel but stable coronary artery disease (CAD), the perceived advantages of complete revascularization (CR) over incomplete revascularization (IR) are intuitively logical and have been the impetus to perform CR whenever feasible. These advantages were suggested by early studies in patients with 3-vessel CAD who underwent coronary artery bypass graft (CABG) demonstrat...
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