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Review
. 2009;36(5):375-86.

The comparative efficacy of percutaneous and surgical coronary revascularization in 2009: a review

Stephen A May  1 , James M Wilson
Affiliations
Review

The comparative efficacy of percutaneous and surgical coronary revascularization in 2009: a review

Stephen A May et al. Tex Heart Inst J. 2009.

Abstract

Medical, percutaneous, and surgical therapies for coronary atherosclerotic disease are developing rapidly, with many recent breakthroughs in metabolic control, improvements in catheter and stent engineering, and advances in surgical technique. Treatment guidelines are still in their infancy and do not take into account several of these recent innovations. Consequently, determining the most appropriate treatment for many patients remains challenging. In this review, we examine the most recent revascularization guidelines, discuss important new data and trials comparing contemporary stent technology and coronary artery bypass surgery, and conclude with updated revascularization recommendations.

Keywords: Coronary artery bypass/methods/mortality; coronary artery disease/therapy; coronary stenosis/therapy; drug-eluting stents; myocardial revascularization/methods/trends; percutaneous coronary intervention; retreatment.

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Figures

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Fig. 1 Our revascularization algorithm. CAB = coronary artery bypass surgery; CAD = coronary artery disease; DES = drug-eluting stent; LM = left main; LVEF = left ventricular ejection fraction; PCI = percutaneous intervention; pLAD = proximal left anterior descending coronary artery; TMT = treadmill test
See this image and copyright information in PMC

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