Myocardial Revascularization

There are two ways that have proven good revascularization in stable coronary heart disease due to atherosclerotic coronary revascularization action ie surgery, Coronary Bypass Surgery (Coronary Artery Bypass Surgery = CABG) and Percutaneous Intervention (PCI = Percutneous Coronary Intervention).

Lately both methods has progressed rapidly in the introduction of the action, off pump with minimally invasive surgery and drug eluting stents (DES).Revascularization goal is to improve survival or prevent infarction or eliminate symptoms. Where the action is selected, depending on the risk and patient complaints. 

Indications for Revascularization

Generally, patients who have indications for coronary arteriography and actions performed catheterization that showed a narrowing of the coronary arteries is a potential candidate for myocardial revascularization action.

In addition, the act of revascularization performed on the patient, if :

a. Treatment failed to control the patient's complaints.

b. Non-invasive test results indicate a risk of infarction.

c. Encountered at high risk for the incidence and mortality.

d. Patients prefer the intervention compared with usual treatment and fully understand the risks of the treatment given to them. 

Actions CABG Surgery

Surgery is better if done in comparison with the treatment, on the circumstances : 

a. Significant stenosis (≥ 50%) in the area left to play. (LM).

b. Significant stenosis (≥ 70%) in the region proximal to the 3 major coronary arteries.

c. Significant stenosis in two main areas, including coronary artery stenosis, a high enough level in the proximal region of the left anterior descending coronary artery.