Complete Versus Incomplete Coronary Revascularization of Patients With Multivessel Coronary Artery Disease

Yader Sandoval, Emmanouil S. Brilakis, Mariana Canoniero, Demetris Yannopoulos, Santiago Garcia

Research output: Contribution to journalReview articlepeer-review

20 Scopus citations


The treatment of patients with multivessel coronary artery disease in need of a revascularization procedure is influenced by the clinical situation (stable vs. unstable), comorbid conditions (diabetes mellitus), and anatomical variables (proximal left anterior artery stenosis, left ventricular dysfunction). Given the invasive nature of coronary artery bypass graft (CABG) operations, surgeons have embraced the concept of complete anatomical revascularization in one procedural stage since the inception of CABG surgery. However, achieving complete coronary revascularization has been more challenging with percutaneous coronary intervention (PCI), and as a result, incomplete procedures are far more common than complete ones. Data continue to emerge on the potential benefits of complete revascularization on clinical outcomes and suggest that complete revascularization should be the goal of therapy whenever possible. The heart team should carefully review the degree to which each revascularization modality can achieve this goal during procedural planning.

Original languageEnglish (US)
JournalCurrent Treatment Options in Cardiovascular Medicine
Issue number3
StatePublished - Mar 2015

Bibliographical note

Funding Information:
Dr. Emmanouil S. Brilakis reports a grant from Guerbet and personal fees from St. Jude, Asahi, Abbott Vascular, Somahlution, Boston Scientific, Terumo, Janssen, and Sanofi.

Funding Information:
Dr. Brilakis received research support from the Department of Veterans Affairs (PI of the Drug Eluting Stents in Saphenous Vein Graft Angioplasty—DIVA trial and Merit grant—I01-CX000787-01) and from the National Institutes of Health (1R01HL102442-01A1); consulting/honoraria from St Jude Medical, Boston Scientific, Asahi, Janssen, Sanofi, Abbott Vascular, Somahlution, Elsevier, and Terumo; and research support from Guerbet. His spouse is an employee of Medtronic.

Publisher Copyright:
© 2015, Springer Science+Business Media New York (outside the USA).


  • Coronary artery disease
  • Coronary revascularization
  • Prognosis


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