Comparison of Revascularization Procedures in Multivessel Disease
Procedure | Advantages | Disadvantages |
---|---|---|
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.