Difference between revisions of "Myocardial revascularization"

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imported>Robert Badgett
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* [[Coronary atherectomy]] which is a "percutaneous transluminal procedure for removing atheromatous plaque from the [[coronary artery|coronary arteries]]. Both directional (for removing focal atheromas) and rotational (for removing concentric atheromatous plaque) atherectomy devices have been used."<ref>{{MeSH|Coronary Atherectomy}}</ref>
* [[Coronary atherectomy]] which is a "percutaneous transluminal procedure for removing atheromatous plaque from the [[coronary artery|coronary arteries]]. Both directional (for removing focal atheromas) and rotational (for removing concentric atheromatous plaque) atherectomy devices have been used."<ref>{{MeSH|Coronary Atherectomy}}</ref>


Coronary artery bypass is more effective  for myocardial revascularization of [[coronary heart disease]] than [[percutaneous transluminal coronary angioplasty]]<ref name="pmid-17938385">{{cite journal |author=Bravata DM, Gienger AL, McDonald KM, ''et al'' |title=Systematic Review: The Comparative Effectiveness of Percutaneous Coronary Interventions and Coronary Artery Bypass Surgery |journal=Ann Intern Med |volume= |issue= |pages= |year=2007 |pmid=17938385 |doi=}}</ref>, especially for patients with diabetes who have stenosis of three [[coronary artery|coronary arteries]].<ref name="pmid8657237">{{cite journal |author= |title=Comparison of coronary bypass surgery with angioplasty in patients with multivessel disease. The Bypass Angioplasty Revascularization Investigation (BARI) Investigators |journal=N. Engl. J. Med. |volume=335 |issue=4 |pages=217–25 |year=1996 |month=July |pmid=8657237 |doi= |url=http://content.nejm.org/cgi/pmidlookup?view=short&pmid=8657237&promo=ONFLNS19 |issn=}}</ref> Coronary artery bypass is also more effective than [[percutaneous transluminal coronary angioplasty]] with drug-eluting stents.<ref name="pmid19228612">{{cite journal |author=Serruys PW, Morice MC, Kappetein AP, ''et al'' |title=Percutaneous coronary intervention versus coronary-artery bypass grafting for severe coronary artery disease |journal=N. Engl. J. Med. |volume=360 |issue=10 |pages=961–72 |year=2009 |month=March |pmid=19228612 |doi=10.1056/NEJMoa0804626 |url=http://content.nejm.org/cgi/pmidlookup?view=short&pmid=19228612&promo=ONFLNS19 |issn=}}</ref> The SYNTAX score may help determine choice of procedure for myocardial revascularization.<ref name="pmid17437730">{{cite journal |author=Valgimigli M, Serruys PW, Tsuchida K, ''et al'' |title=Cyphering the complexity of coronary artery disease using the syntax score to predict clinical outcome in patients with three-vessel lumen obstruction undergoing percutaneous coronary intervention |journal=Am. J. Cardiol. |volume=99 |issue=8 |pages=1072–81 |year=2007 |month=April |pmid=17437730 |doi=10.1016/j.amjcard.2006.11.062 |url=http://linkinghub.elsevier.com/retrieve/pii/S0002-9149(07)00072-0 |issn=}}</ref>
Coronary artery bypass is more effective  for myocardial revascularization of [[coronary heart disease]] than [[percutaneous transluminal coronary angioplasty]]<ref name="pmid-17938385">{{cite journal |author=Bravata DM, Gienger AL, McDonald KM, ''et al'' |title=Systematic Review: The Comparative Effectiveness of Percutaneous Coronary Interventions and Coronary Artery Bypass Surgery |journal=Ann Intern Med |volume= |issue= |pages= |year=2007 |pmid=17938385 |doi=}}</ref>, especially for patients with diabetes who have stenosis of three [[coronary artery|coronary arteries]].<ref name="pmid8657237">{{cite journal |author= |title=Comparison of coronary bypass surgery with angioplasty in patients with multivessel disease. The Bypass Angioplasty Revascularization Investigation (BARI) Investigators |journal=N. Engl. J. Med. |volume=335 |issue=4 |pages=217–25 |year=1996 |month=July |pmid=8657237 |doi= |url=http://content.nejm.org/cgi/pmidlookup?view=short&pmid=8657237&promo=ONFLNS19 |issn=}}</ref> Coronary artery bypass is also more effective than [[percutaneous transluminal coronary angioplasty]] with drug-eluting stents; however, bypass may increase the rate of stroke.<ref name="pmid19228612">{{cite journal |author=Serruys PW, Morice MC, Kappetein AP, ''et al'' |title=Percutaneous coronary intervention versus coronary-artery bypass grafting for severe coronary artery disease |journal=N. Engl. J. Med. |volume=360 |issue=10 |pages=961–72 |year=2009 |month=March |pmid=19228612 |doi=10.1056/NEJMoa0804626 |url=http://content.nejm.org/cgi/pmidlookup?view=short&pmid=19228612&promo=ONFLNS19 |issn=}}</ref> The SYNTAX score may help determine choice of procedure for myocardial revascularization.<ref name="pmid17437730">{{cite journal |author=Valgimigli M, Serruys PW, Tsuchida K, ''et al'' |title=Cyphering the complexity of coronary artery disease using the syntax score to predict clinical outcome in patients with three-vessel lumen obstruction undergoing percutaneous coronary intervention |journal=Am. J. Cardiol. |volume=99 |issue=8 |pages=1072–81 |year=2007 |month=April |pmid=17437730 |doi=10.1016/j.amjcard.2006.11.062 |url=http://linkinghub.elsevier.com/retrieve/pii/S0002-9149(07)00072-0 |issn=}}</ref>


==References==
==References==
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Revision as of 22:41, 30 April 2009

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In medicine, myocardial revascularization is "the restoration of blood supply to the myocardium."[1]

Revascularization procedures include:

Coronary artery bypass is more effective for myocardial revascularization of coronary heart disease than percutaneous transluminal coronary angioplasty[5], especially for patients with diabetes who have stenosis of three coronary arteries.[6] Coronary artery bypass is also more effective than percutaneous transluminal coronary angioplasty with drug-eluting stents; however, bypass may increase the rate of stroke.[7] The SYNTAX score may help determine choice of procedure for myocardial revascularization.[8]

References

  1. Anonymous (2022), Myocardial revascularization (English). Medical Subject Headings. U.S. National Library of Medicine.
  2. Anonymous (2022), Coronary Artery Bypass (English). Medical Subject Headings. U.S. National Library of Medicine.
  3. Anonymous (2022), Percutaneous transluminal coronary angioplasty (English). Medical Subject Headings. U.S. National Library of Medicine.
  4. Anonymous (2022), Coronary Atherectomy (English). Medical Subject Headings. U.S. National Library of Medicine.
  5. Bravata DM, Gienger AL, McDonald KM, et al (2007). "Systematic Review: The Comparative Effectiveness of Percutaneous Coronary Interventions and Coronary Artery Bypass Surgery". Ann Intern Med. PMID 17938385[e]
  6. (July 1996) "Comparison of coronary bypass surgery with angioplasty in patients with multivessel disease. The Bypass Angioplasty Revascularization Investigation (BARI) Investigators". N. Engl. J. Med. 335 (4): 217–25. PMID 8657237[e]
  7. Serruys PW, Morice MC, Kappetein AP, et al (March 2009). "Percutaneous coronary intervention versus coronary-artery bypass grafting for severe coronary artery disease". N. Engl. J. Med. 360 (10): 961–72. DOI:10.1056/NEJMoa0804626. PMID 19228612. Research Blogging.
  8. Valgimigli M, Serruys PW, Tsuchida K, et al (April 2007). "Cyphering the complexity of coronary artery disease using the syntax score to predict clinical outcome in patients with three-vessel lumen obstruction undergoing percutaneous coronary intervention". Am. J. Cardiol. 99 (8): 1072–81. DOI:10.1016/j.amjcard.2006.11.062. PMID 17437730. Research Blogging.