7
views
0
recommends
+1 Recommend
0 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: not found

      Percutaneous coronary intervention versus coronary artery bypass surgery in multivessel disease: a current perspective.

      Read this article at

      ScienceOpenPublisherPubMed
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Coronary artery bypass surgery (CABG) and percutaneous coronary intervention (PCI) are both safe and established treatment modalities of invasive revascularization for patients with coronary artery disease (CAD). However, conflicting information exists when comparing the long-term efficacy of the two methods. The optimal treatment for patients with multivessel coronary artery disease (MVD) is still subject to discussion, given the lack of fairly designed, prospective, randomized data reflecting current practice in the modern era. Furthermore, the clinical outcomes after invasive revascularization differ according to the number of diseased vessels, presence or absence of diabetes, left main disease and left ventricular dysfunction. Hence, the question arises whether we should continue to use the term 'multivessel disease'. Conflicts of available data need to be addressed and overcome so that care of patients with CAD can be successfully tailored. In this review article we try to address some of the above conflicts, in an effort to improve our understanding in the care of patients with multivessel disease. We also provide an evidence-based perspective which may differ from the current standard of practice.

          Related collections

          Author and article information

          Journal
          Interact Cardiovasc Thorac Surg
          Interactive cardiovascular and thoracic surgery
          European Association of Cardiothoracic Surgery (EACTS Publishing Ltd)
          1569-9285
          1569-9285
          Jun 2009
          : 8
          : 6
          Affiliations
          [1 ] Cardiovascular Institute, University of Pittsburgh Medical Center, Presbyterian Hospital, Pittsburgh, PA 15213, USA. soranzo@upmc.edu
          Article
          icvts.2008.195644
          10.1510/icvts.2008.195644
          19307243
          3c884997-e27d-401e-99bc-b9dbdea24d6b
          History

          Comments

          Comment on this article