Is it time to change how we think about incomplete coronary revascularization
作者： Cristiano Spadaccio , Francesco Nappi , Antonio Nenna , Gwyn Beattie , Massimo Chello
DOI: 10.1016/J.IJCARD.2016.09.055
关键词:
摘要: The optimal degree of revascularization for patients with chronic multivessel coronary artery disease remains an unsolved issue. Intuitively, complete decreases cardiovascular events and improves outcomes compared to incomplete procedures, but in recent years the concept moved from a sub-optimal or defective treatment towards most appropriate technique some categories patients. A reasonable level anatomic has been shown be safe achievable both percutaneous (PCI) surgical procedures (CABG), despite different long-term outcomes. What are mechanisms underlying clinical benefits what factors explaining discrepancy between two modes PCI CABG? biological consequences reperfusion might provide valuable hints this context at same time cast new light on way we think about revascularization.
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