Complete Versus Incomplete Percutaneous Coronary Intervention-Mediated Revascularization in Patients With Chronic Coronary Syndromes

被引:2
作者
Kurup, Rahul [1 ]
Wijeysundera, Harindra C. [2 ]
Bagur, Rodrigo [1 ]
Ybarra, Luiz F. [1 ,3 ]
机构
[1] Western Univ, London Hlth Sci Ctr, Schulich Sch Med & Dent, Dept Med,Div Cardiol,Chron Total Occlus Program, London, ON, Canada
[2] Sunnybrook Hlth Sci Ctr, Schulich Heart Program, Toronto, ON, Canada
[3] Western Univ, London Hlth Sci Ctr, 339 Windermere Rd,room B6-127, London, ON N6A 5A5, Canada
关键词
Percutaneous coronary intervention; Complete revascularization; Incomplete revascularization; Chronic coronary syndromes; FRACTIONAL FLOW RESERVE; OPTIMAL MEDICAL THERAPY; LONG-TERM OUTCOMES; CARDIAC-SURGERY SYNTAX; ARTERY-BYPASS GRAFT; CLINICAL-OUTCOMES; PROGNOSTIC VALUE; FOLLOW-UP; MICROVASCULAR DYSFUNCTION; ACUTE CATHETERIZATION;
D O I
10.1016/j.carrev.2022.10.003
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Multivessel coronary artery disease (CAD) is associated with worse outcomes across the spectrum of clinical presentations. The prognostic implications of completeness of revascularization in CAD patients, especially those with chronic coronary syndromes (CCS), remain highly debated. This is largely due to the use of nonstandardized definitions for complete revascularization (CR) and incomplete revascularization (ICR) within previously published studies, lack of randomized clinical data, varying revascularization methods and heterogenous study populations. In particular, the utility and effectiveness of PCI-mediated CR for CCS remains unknown. In this review, we discuss the various definitions used for CR vs. ICR, highlight the rationale for pursuing CR and summarise the current literature regarding the effects of PCI-mediated CR on clinical outcomes in patients with CCS. (c) 2022 Elsevier Inc. All rights reserved.
引用
收藏
页码:86 / 92
页数:7
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