[Optimal method of revascularization in patients with multivessel coronary artery involvement for application of drug eluting stents: percutaneous coronary interventions in comparison with coronary bypassing]

Abstract

Drug eluting stents (DES) which appeared in the beginning of 21-st century allowed to elevated percutaneous coronary interventions (PCI) to a novel level. High efficacy of DES has been proven in a row of conducted clinical studies: after their implantation low percentage of in stent restenosis and low rate of repetitive target vessel revascularizations have been obtained. At the same time there occurred definite improvements in the technique of coronary bypass surgery. Therefore a question of choice of optimal method of revascularization in patients with multivessel lesions remains open. In this review we present results of a row of large studies in which coronary bypassing and PCI with implantation of DES has been compared in patients with multivessel lesions.