[ESC/EACTS guidelines on myocardial revascularization 2018 : The most important innovations].

Abstract:

:The guidelines on myocardial revascularization published in 2018 are a joint initiative of the European Society of Cardiology and the European Association for Cardio-Thoracic Surgery. To establish indications for myocardial revascularization by percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG), evidence of the functional relevance of coronary artery stenoses is needed either by non-invasive imaging function tests or intravascular hemodynamic measurements. The prognostic and symptomatic benefits of myocardial revascularization depend on whether complete revascularization can be achieved. This needs to be considered when choosing the most appropriate revascularization strategy. In addition, the individual operative risk, the technical feasibility, the presence of diabetes mellitus and the anatomical complexity of coronary artery disease, as assessed by the SYNTAX score, are key criteria when choosing the optimal method of revascularization. For PCI radial artery access and the general use of drug-eluting stents are recommended. For CABG multiple arterial grafts should be strived for including the radial artery for treatment of high-grade coronary stenosis.

journal_name

Herz

journal_title

Herz

authors

Neumann FJ,Hochholzer W,Siepe M

doi

10.1007/s00059-018-4764-5

subject

Has Abstract

pub_date

2018-12-01 00:00:00

pages

689-694

issue

8

eissn

0340-9937

issn

1615-6692

pii

10.1007/s00059-018-4764-5

journal_volume

43

pub_type

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