Multivessel coronary disease s

Netherlands Rotterdam Las ' Giovanna Sarno, who according to a medical center study shows that, for percutaneous coronary intervention (PCI) cannot be made of complete revascularization in patients with complex coronary artery disease, coronary artery bypass graft (CABG), treatment. 　　In patients with diseases of less complex, even if the lack of complete revascularization, PCI is still a valid alternative. Researchers used by arterial revascularization therapy-II (ARTS-II) generates data to investigation of complete and incomplete revascularization in patients with clinical outcome differences. 　　Accepted usage for all patients CABG or PCI and drug eluting stent to complete or incomplete revascularization. Study results showed that in patients with high SYNTAX scores of PCI, compared with CABG treatment, incomplete revascularization led to adverse event rates to rise. But for the SYNTAX score lower in patients, either the PCI or the CABG surgery outcome broadly similar. 　　SYNTAX score is in patients with coronary artery disease in patients with an indicator of complexity; score, the higher the more complex the anatomy of coronary artery disease. PCI incomplete revascularization for treatment of patients in accordance with the SYNTAX score to tier three percentile. For the top three percentile of patients, compared with the minimum in patients with three-digit, 5 MACCE (major adverse cardiovascular events) incidence shows that survival rates significantly reduced, however, in the lowest and almost no differences between patients with three-digit number in the middle. 　　Use SYNTAX in the SYNTAX score can score incomplete revascularization patients, compared with the complete revascularization in patients with, found with no adverse events occurred in patients with long-term follow-up. In recent years, several studies have investigated the effects of revascularization full, but there is little clear recommendations on possible clinical outcome. 　　Whether it is the European society of Cardiology (ESC) Guide also is United States society of Cardiology (AHA) and the United States society of Cardiology (ACC) published guidelines are not formally set out the subject. Revascularization is coronary artery bypass graft (CABG) and percutaneous coronary intervention (PCI) 2 kinds of operation results, both in patients with coronary artery disease, and the term "complete" is an indicator of degree of revascularization. Complete revascularization is defined as, in the reference diameter of >1.5mm blood vessels, all narrow diameter of >50% lesions were treated successfully. Did not try treatment ≥ 1 with this characteristic lesions of patients, or treatment causes the disease last in patients with stenosis >50% diameter, is treated as incomplete revascularization.