Endovascular treatment of ischemic heart disease in patients with multivessel coronary artery disease: immediate and long-term results

• Published in: Vestnik Rossiĭskoĭ akademii medits︠i︡nskih nauk no. 7; p. 8
• Main Authors: Khaĭrutdinov, E R, Shugushev, Z Kh, Maksimkin, D A, Faĭbushevich, A G, Veretnik, G I, Arablinskiĭ, A V, Tarichko, Iu V
• Format: Journal Article
• Language: Russian
• Published: Russia (Federation) 2012
• Subjects: Algorithms; Coronary Vessels - physiopathology; Coronary Vessels - surgery; Drug-Eluting Stents - adverse effects; Drug-Eluting Stents - statistics & numerical data; Endovascular Procedures - adverse effects; Endovascular Procedures - methods; Endovascular Procedures - statistics & numerical data; Female; Humans; Kaplan-Meier Estimate; Male; Middle Aged; Myocardial Ischemia - physiopathology; Myocardial Ischemia - surgery; Myocardial Revascularization - adverse effects; Myocardial Revascularization - methods; Myocardial Revascularization - statistics & numerical data; Outcome and Process Assessment (Health Care); Severity of Illness Index; Time; Treatment Outcome
• ISSN: 0869-6047
• DOI: 10.15690/vramn.v67i7.334

Immediate and long-term results of endovascular treatment of multivessel coronary artery disease by using different revascularization strategies were analyzed in 171 patients. Duration of follow up ranged from 12 to 18 months. Complete myocardium revascularization was performed in 63 patients, culprit vessel revascularization--in 86 pts and incomplete revascularization--in 22 pts. Results of this study showed that strategy of complete and culprit vessel revascularization in patients with multivessel coronary artery disease has comparable immediate and long-term results. Strategy of incomplete revascularization reduce immediate clinical success and lead to increased number of myocardial infarctions and needs of coronary artery bypass surgery in long-term follow-up period.