Myocardial revascularization has long been considered the treatment of choice for patients with multivessel disease. The introduction of stents, however, has altered this paradigm. While the Syntax and Syntax II studies have clarified the risk related to coronary artery lesions, the respective scores have proven instrumental in facilitating the discussion within the medical team, also termed Heart Team, in order to propose the coronary revascularization technique best tailored to each individual patient.
Key Words
Multivessel coronary artery disease, coronary angioplasty, surgical revascularization, Syntax score
What is already known about the topic?
Multivessel coronary disease has long been managed by means of myocardial revascularization surgery.
What does this article bring up for us?
This article highlights the relevance of discussing each patient’s case within the Heart Team in order to select the coronary revascularization technique, either surgery or angioplasty, best tailored to each individual patient.