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Updated: Jun 23, 2026

Evaluation of a Novel Laser-assisted Coronary Anastomotic Connector - the Trinity Clip - in a Porcine Off-pump Bypass Model
12:00

Evaluation of a Novel Laser-assisted Coronary Anastomotic Connector - the Trinity Clip - in a Porcine Off-pump Bypass Model

Published on: November 24, 2014

Does coronary angioplasty replace, delay, or complement aortocoronary bypass surgery?

M Kaltenbach1

  • 1Klinikum der Universität, Frankfurt, F.R.G.

European Heart Journal
|September 1, 1987
PubMed

Insights

Percutaneous coronary intervention (PCI) can replace or delay surgery for most single-vessel and localized multivessel coronary artery disease. For complex cases, surgery remains primary, but PCI can complement it post-operatively.

Area of Science:

  • Cardiovascular Medicine
  • Interventional Cardiology

Background:

  • Coronary artery disease management involves surgical and interventional approaches.
  • Treatment strategies vary based on disease extent and characteristics.

Purpose of the Study:

  • To delineate the roles of angioplasty versus surgery in different coronary artery disease scenarios.
  • To explore angioplasty's complementary function in surgical management.

Main Methods:

  • Comparative analysis of treatment outcomes for single-vessel and multivessel coronary artery disease.
  • Evaluation of angioplasty's efficacy as a primary therapy and as an adjunct to surgery.

Main Results:

  • Angioplasty is effective for the majority of single-vessel disease, replacing or delaying surgery.
  • For localized multivessel disease, angioplasty offers similar benefits.
  • Primary surgery remains the preferred option for extensive coronary atherosclerosis and occlusions.
  • Angioplasty can successfully complement surgery, addressing non-bypassed vessels, bypass occlusions, or bypass graft stenoses.

Conclusions:

  • Percutaneous coronary intervention (PCI) is a viable alternative to surgery for many coronary artery disease patients.
  • PCI can be used sequentially or complementarily to surgical revascularization, expanding therapeutic options.

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