Complete revascularization: a quality-performance metric?
نویسنده
چکیده
Current U.S. and European guidelines recommend coronary artery bypass graft (CABG) over percutaneous coronary intervention (PCI) for multivessel coronary artery disease (CAD) and confer a class IIb (of uncertain benefit) recommendation to PCI for improvement in survival (1,2). Prior studies suggest that the magnitude of clinical benefit attributable to revascularization with either PCI or CABG is enhanced among patients in whom revascularization is complete (CR) versus incomplete (IR) (3,4). Although these studies demonstrate that IR is associated with hazard for death, myocardial infarction (MI), or additional revascularization, this conclusion is limited by observational, retrospective study designs, lack of randomization (IR vs. CR) and reliance on post-procedural classification of revascularization completeness by the treating physician. To
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عنوان ژورنال:
- Journal of the American College of Cardiology
دوره 62 16 شماره
صفحات -
تاریخ انتشار 2013