What does complete revascularization mean in 2021? - Definitions, implications, and biases

Katsuhiro Hosoyama, Kay Maeda, Yoshikatsu Saiki

Research output: Contribution to journalReview articlepeer-review

Abstract

PURPOSE OF REVIEW: Coronary revascularization is known to be an excellent treatment for coronary artery disease. However, whether incomplete myocardial revascularization compromises long-term outcomes, as compared to complete revascularization (CR), remains contentious. Herein, we review the concept of and evidence on CR/incomplete revascularization (ICR) and discuss future perspectives. RECENT FINDINGS: When possible, achieving CR in coronary artery bypass grafting is desirable; nonetheless, ICR is also a reasonable option to balance the therapeutic benefits against the risks. SUMMARY: Although angiography-based assessment currently remains the standard of care, fractional flow reserve guidance may reduce the number of lesions requiring revascularization, which may be helpful for an appropriate surgical revascularization strategy. In particular, utilizing this approach may refine hybrid revascularization procedures, especially among high-risk patients.

Original languageEnglish
Pages (from-to)748-754
Number of pages7
JournalCurrent opinion in cardiology
Volume36
Issue number6
DOIs
Publication statusPublished - 2021 Nov 1

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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