Related Experiment Video
Updated: Aug 24, 2026
Post-Myocardial Infarction Heart Failure in Closed-chest Coronary Occlusion/Reperfusion Model in Göttingen Minipigs and Landrace Pigs
Published on: April 17, 2021
[Recanalization by percutaneous coronary intervention in occlusion of all coronary vessels]
S von Dryander1, W Bojara, T Lawo
1Abteilung für Kardiologie und Angiologie, Berufsgenossenschaftliche Kliniken Bergmannsheil, Ruhr-Universität Bochum. stefan.dryander@ruhr-uni-bochum.de
Insights
Percutaneous coronary intervention can be a viable alternative for patients with complex multivessel coronary disease when other treatments are insufficient. This approach may improve heart function and patient performance.
Area of Science:
- Cardiology
- Interventional Cardiology
Background:
- Multivessel coronary artery disease (CAD) with complex morphology presents treatment challenges.
- Drug therapy is often inadequate, and surgical revascularization may not always be feasible.
Observation:
- A case study of a patient with occlusion of all coronary vessels who underwent multivessel intervention is presented.
- This patient had complex morphology and myocardial damage.
Findings:
- Multivessel percutaneous coronary intervention (PCI) can significantly improve left ventricular function.
- The procedure led to a substantial increase in the patient's overall performance.
Implications:
- Percutaneous coronary intervention should be considered as an alternative to coronary artery bypass grafting (CABG) in select cases.
- This approach offers a potential solution for complex multivessel CAD when surgical options are limited.
Abstract:
The utility of coronary intervention in the treatment of multivessel coronary disease with complex morphology and damage to the myocardium remains controversial. What is certain is that drug treatment is often not adequate and surgical revascularization not always possible. A patient with occlusion of all coronary vessels who underwent a multivessel intervention is presented. Multivessel intervention can improve the left ventricular function and appreciably increase the performance of the patient. In similar cases, consideration should be given to percutaneous coronary intervention as an alternative to bypass surgery.
