ABSTRACT
This study included 171 patients with multivascular lesions in the coronary bed treated endovascularly for myocardial revascularization. The patients divided into 3 groups underwent complete, functionally adequate, and incomplete revascularization respectively. Analysis of clinical, anamnestic and angiographic characteristics of the patients revealed possible risk factors hampering the necessary extent of revascularization in case of multivascular lesions in the coronary bed such as chronic coronary occlusion, occlusion of more than 20 mm of the coronary artery, high risk of percutaneous coronary intervention based on the SYNTAX Score scale, and calcinosis of the effected segment.
Subject(s)
Coronary Disease/pathology , Coronary Disease/surgery , Endovascular Procedures/methods , Myocardial Revascularization/methods , Coronary Angiography , Coronary Disease/physiopathology , Endovascular Procedures/instrumentation , Female , Humans , Male , Middle Aged , Myocardial Revascularization/instrumentation , Risk Factors , Severity of Illness Index , Treatment OutcomeABSTRACT
Myocardial revascularization in a standard method of treatment of patients with severe stenocardia and hemodynamically significant lesions of coronary vessels. Nowadays, endovascular correction techniques are more and more wide-spread in patients with multi-vascular lesions. Earlier comparative studies demonstrated absence of differences according to lethal outcome and acute myocardial infarction frequencies, but a higher requirement for repeated interventions and a higher rate of stenocardia recurrence after endovascular technique application vs. surgical treatment. However, nowadays stents with antiproliferative coating allowing for significant reduction in restenosis rate are widely used. This article is dedicated to analysis of the results of surgical and endovascular treatment of patients with multi-vascular coronary lesions.
