Complete Coronary Revascularization

A case of multiple coronary artery aneurysms: Successful revascularization

Introduction: Multiple coronary artery aneurysm is a rare anomaly which could be congenital or acquired. Its complications including sudden cardiac death, clot and distal emboli, rupture and bleeding or fistula. Decision about its management depends on aneurysm conditions and the Patient's clinical situation Case Report: A 55 years old patient with unstable angina and multiple coronary ar...

Complete revascularization: coronary artery bypass graft surgery versus percutaneous coronary intervention.

The concept of complete revascularization arose from the early studies on coronary artery bypass grafting (CABG) surgery whereby some publications demonstrated that patients who were completely revascularized enjoyed a mortality benefit over those who were incompletely revascularized, thus setting the standard for the field of CABG.1–3 Over the past 3 decades, CABG has evolved from saphenous ve...

Complete revascularization in contemporary practice.

Hybrid Coronary Revascularization

Hybrid coronary revascularization (HCR) combines arterial coronary artery bypass surgery (most commonly minimally invasive) and percutaneous coronary intervention in the treatment of a particular subset of multivessel coronary artery disease. It was first introduced in the mid-1990s, and aspired to bring together the ”best of both worlds”: the excellent patency rates and survival benefits assoc...

Diabetes and coronary revascularization.

CONTEXT Patients with diabetes mellitus account for approximately 25% of the nearly 1.5 million coronary revascularization procedures performed each year in the United States and experience worse outcomes compared with nondiabetic patients. OBJECTIVES To summarize the current state of evidence comparing the effectiveness and safety of coronary artery bypass graft (CABG) surgery and percutaneo...