Myocardial revascularization: Difference between revisions
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Revascularization procedures include: | Revascularization procedures include: | ||
* [[Coronary artery bypass | * [[Coronary artery bypass]] grafting(CABG) which is a "surgical therapy of ischemic [[Coronary heart disease|coronary artery disease]] achieved by grafting a section of [[saphenous vein]], [[internal mammary artery]], or other substitute between the [[aorta]] and the obstructed [[coronary artery]] distal to the obstructive lesion."<ref>{{MeSH|Coronary Artery Bypass}}</ref> | ||
* [[Percutaneous transluminal coronary angioplasty]] (PCTA) ([[angioplasty]] of a coronary artery) is "dilatation of an occluded coronary artery (or arteries) by means of a balloon catheter to restore myocardial blood supply."<ref>{{MeSH|Percutaneous transluminal coronary angioplasty}}</ref> | * [[Percutaneous transluminal coronary angioplasty]] (PCTA) ([[angioplasty]] of a coronary artery) is "dilatation of an occluded [[coronary artery]] (or arteries) by means of a balloon catheter to restore myocardial blood supply."<ref>{{MeSH|Percutaneous transluminal coronary angioplasty}}</ref> | ||
* [[Coronary atherectomy]] which is a "percutaneous transluminal procedure for removing atheromatous plaque from the 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> | ||
In general, surgery is more effective<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 severe disease<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>. | In general, surgery is more effective<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 severe disease<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== | ||
<references/> | <references/> | ||
Revision as of 08:19, 30 April 2009
In medicine, myocardial revascularization is "the restoration of blood supply to the myocardium."[1]
Revascularization procedures include:
- Coronary artery bypass grafting(CABG) which is a "surgical therapy of ischemic coronary artery disease achieved by grafting a section of saphenous vein, internal mammary artery, or other substitute between the aorta and the obstructed coronary artery distal to the obstructive lesion."[2]
- Percutaneous transluminal coronary angioplasty (PCTA) (angioplasty of a coronary artery) is "dilatation of an occluded coronary artery (or arteries) by means of a balloon catheter to restore myocardial blood supply."[3]
- Coronary atherectomy which is a "percutaneous transluminal procedure for removing atheromatous plaque from the coronary arteries. Both directional (for removing focal atheromas) and rotational (for removing concentric atheromatous plaque) atherectomy devices have been used."[4]
In general, surgery is more effective[5], especially for severe disease[6]. The SYNTAX score may help determine choice of procedure for myocardial revascularization.[7]
References
- ↑ Anonymous (2024), Myocardial revascularization (English). Medical Subject Headings. U.S. National Library of Medicine.
- ↑ Anonymous (2024), Coronary Artery Bypass (English). Medical Subject Headings. U.S. National Library of Medicine.
- ↑ Anonymous (2024), Percutaneous transluminal coronary angioplasty (English). Medical Subject Headings. U.S. National Library of Medicine.
- ↑ Anonymous (2024), Coronary Atherectomy (English). Medical Subject Headings. U.S. National Library of Medicine.
- ↑ 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]
- ↑ 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.
- ↑ 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.