Complete revascularization reduces mortality in stable multibranch coronary lesions

    Brazilian scholar Vieira RD et al. randomized patients with stable coronary artery disease with combined multiple coronary lesions, normal cardiac systolic function, and treated with CABG or PCI into complete revascularization (CR, n=224) and incomplete revascularization groups (IR , n=166), in which 63.8% of patients in the CR group received CABG and 36.2% received PCI (P= 0.001); those with a previous history of myocardial infarction were higher in the IR group (56.2%) than in the CR group (39.2%, P=0.01). Results at 10 years of follow-up showed that survival without cardiovascular events was significantly higher in the CR group than in the IR group (90.6% vs 84.4%; P=0.04), and this difference was associated with increased cardiovascular death in those patients who underwent PCI and failed complete revascularization. Studies have shown that complete revascularization reduces mortality in stable multibranch coronary lesions. (Li Jun, abstract) Circulation. 2012 , 126: S158-163 Li Jun, Department of Cardiovascular Medicine, Guang’anmen Hospital, Chinese Academy of Traditional Chinese Medicine