Abstract：
:Coronary artery disease (CAD) is a leading cause of morbidity and mortality in western countries and is of significant socio-economic importance due to its increasing prevalence. Until percutaneous coronary interventions (PCI) were established, CAD could only be treated by surgical revascularization or pharmacological therapy. In-stent restenosis remains a major problem after stent implantation. However, the use of new materials and stent coatings have led to a significant reduction in in-stent restenosis. Thus, surgical revascularization and PCI are currently of equal value for the treatment of CAD. The decision-making for PCI or surgical revascularization depends on various factors such as number of diseased vessels, complexity of the coronary stenoses, concomitant diseases, and the patient's general condition. The therapeutic regime of every patient should be adjusted to the recommendations of the European and German Society for Cardiology, while controversial and complex cases should be discussed in an interdisciplinary case conference ("heart team").
journal_name
Herzjournal_title
Herzauthors
Möllmann H,Szardien S,Kempfert J,Nef H,Liebetrau C,Walther T,Hamm Cdoi
10.1007/s00059-013-3917-9subject
Has Abstractpub_date
2013-08-01 00:00:00pages
513-26; quiz 527-8issue
5eissn
0340-9937issn
1615-6692journal_volume
38pub_type
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