Utilizing risk scores in determining the optimal revascularization strategy for complex coronary artery disease.

Abstract:

:Percutaneous coronary intervention (PCI) of multivessel and/or left main stem disease have been shown to be potentially legitimate revascularization alternatives in appropriately selected patients. Risk stratification is an important component in guiding patients to identify the most appropriate revascularization modality (PCI or coronary artery bypass grafting [CABG]) in conjunction with the Heart Team. The aim of this paper is to give the clinician a concise overview of the important established and evolving contemporary risk models in aiding this decision-making process. Risk models, based on clinical and anatomical variables alone, the novel concept of functional anatomical risk scores, and risk models combining aspects from both clinical and anatomical scores, are all discussed. The emerging concepts of the patient-empowered risk/benefit tradeoff between PCI and CABG to help personalize the choice of revascularization modality are also explored.

journal_name

Curr Cardiol Rep

authors

Farooq V,Brugaletta S,Serruys PW

doi

10.1007/s11886-011-0202-5

subject

Has Abstract

pub_date

2011-10-01 00:00:00

pages

415-23

issue

5

eissn

1523-3782

issn

1534-3170

journal_volume

13

pub_type

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