Definitions and clinical impact of revascularization completeness

Francesco Burzotta, Carlo Trani, Cristina Aurigemma, Giulio Russo, Leonardo Previ

Risultato della ricerca: Contributo in rivistaArticolo in rivista

3 Citazioni (Scopus)

Abstract

The completeness of revascularization in patients with multivessel coronary artery disease (CAD) remains an unanswered question. Despite 20 years of investigation there are still major doubts in this topic, reaching as far as to the lack of a standardized definition. The employment of different definition and the multiplicity of confounding variables that in general favor patients who receive a complete revascularization (CR) are the reason of difficult comparisons between studies. The complexity of coronary anatomy diseases and the clinical features play important role in the revascularization strategy. However, the clinical impact of CR is different in particular clinical subsets, such as diabetes, ST-segment elevation myocardial infarction, cardiogenic shock, ischemic heart failure. The CR is a desirable objective, but it is not mandatory and sometimes a reasonable incomplete revascularization (IR) offers comparable results. Clinical variables, including patient's age, life expectancy, the severity of symptoms at presentation, comorbidities (particularly diabetes mellitus), left ventricular function and myocardial viability, as well as coronary anatomy should be considered in the decision making whether to attempt CR or to follow a reasonable IR strategy, for both percutaneous coronary intervention and coronary artery bypass graft surgery, in patients with multivessel CAD.
Lingua originaleEnglish
pagine (da-a)594-599
Numero di pagine6
RivistaMinerva Cardioangiologica
Volume66
DOI
Stato di pubblicazionePubblicato - 2018

Keywords

  • Age Factors
  • Cardiogenic shock
  • Coronary Artery Bypass
  • Coronary Artery Disease
  • Coronary artery disease
  • Decision Making
  • Diabetes mellitus
  • Heart failure
  • Humans
  • Life Expectancy
  • Myocardial Revascularization
  • Percutaneous Coronary Intervention
  • Percutaneous coronary intervention
  • Risk Factors
  • ST elevation myocardial infarction
  • Severity of Illness Index

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