What is your approach to counseling a patient with stable but severe multivessel coronary disease if the patient does not wish to undergo bypass surgery?

Topics: Cardiology • Interventional Cardiology • Preventive Cardiology

And when would you consider referral for staged/complex PCI instead?

Answer from: at Community Practice

The question assumes that a stable patient with multivessel disease would do better with bypass surgery. If the ejection fraction is less than 35% then the long-term outcome from the STITCH trial showed a reduction in mortality. There is no comparable data for angioplasty. If the patient refuses sur...

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