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Table 121-3

Comparison of Revascularization Procedures in Multivessel Disease

ProcedureAdvantagesDisadvantages
Percutaneous coronary revascularization

Less invasive

Shorter hospital stay

Lower initial cost

Effective in relieving symptoms

Restenosis requiring repeat procedure

Possible incomplete revascularization

Limited to specific anatomic subsets

Coronary artery bypass grafting

Lower rate of recurrent angina

Ability to achieve complete revascularization

Cost

Risk of a repeat procedure due to late graft closure

Morbidity and mortality of major surgery

Source: Modified from DP Faxon, in GA Beller (ed), Chronic Ischemic Heart Disease, in E Braunwald (series ed), Atlas of Heart Disease, Philadelphia, Current Medicine, 1994.