The strategy of surgical revascularization of coronary arteries in a multi-vessel lesion

Abstract

This review presents the basic approaches for the surgical myocardial revascularization in patients with multivessel coronary lesions. The methods of coronary artery bypass grafting, balloon angioplasty, stenting using holometallic stents and drug-coated stents are discussed, the main studies comparing the above methods with each other and with the optimal drug therapy are presented. The concepts of complete and incomplete revascularization of the coronary bed are also explained.

Keywords

• coronary heart disease
• coronary artery bypass grafting
• drug-eluting coronary stent
• bare-metal stent
• optimal drug therapy