Coronary bypass surgery versus percutaneous coronary intervention: The saga continues

Gustavo Goldenberg, Ran Kornowski

Research output: Contribution to journalReview articlepeer-review

Abstract

Coronary artery bypass graft surgery and percutaneous coronary intervention are the treatment options in patients with ischemia and multivessel coronary artery disease (CAD). Comparisons of coronary artery bypass graft and percutaneous coronary intervention have provided conflicting information. For years, experts have debated over the optimal treatment for patients with multivessel CAD. Current data indicate that clinical outcomes following invasive revascularization depend on patient characteristics, cardiac function, coronary disease distribution, and/or the number of diseased vessels. Lately, new data on treatment paradigms have enabled tailoring of treatment to fit the patient, with the anatomic SYNTAX score and some additional variables. This new data should be scrutinized to ensure its successful clinical utilization to proviDe individualized care for patients with CAD. In this article, we address some important coronary revascularization issues. We present and analyze the new information in the context of its clinical releVance, contemporary revascularization measures, and other tools designed to improve the care of patients with multivessel CAD.

Original languageEnglish
Pages (from-to)653-660
Number of pages8
JournalInterventional Cardiology
Volume4
Issue number6
DOIs
StatePublished - Dec 2012

Keywords

  • SYNTAX score
  • coronary artery disease
  • multivessel coronary disease
  • renal failure
  • restenosis
  • revascularization

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