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Long-Term Outcomes of Revascularization Compared to Deferral in Stable Coronary Artery Disease: a Review

Anhthu Trinh1, Frank H Annie2

  • 1CAMC Institute for Academic Medicine, 3200 MacCorkle Ave. SE, Charleston, WV, 25304, USA.

Current Cardiology Reports
|April 10, 2023
PubMed

Insights

For stable coronary artery disease, deferring revascularization shows similar long-term outcomes and safety compared to performing the procedure. This review assesses available literature on revascularization versus deferral strategies.

Area of Science:

  • Cardiology
  • Interventional Cardiology

Background:

  • Stable coronary artery disease (CAD) management involves decisions between revascularization and medical therapy.
  • The safety and efficacy of deferring revascularization in stable CAD require ongoing evaluation.

Purpose of the Study:

  • To assess and compare the long-term outcomes of revascularization versus deferral of intervention in patients with stable coronary artery disease.
  • To review existing literature on the safety and effectiveness of both management strategies.

Main Methods:

  • Systematic review of available literature.
  • Analysis of studies comparing revascularization outcomes against deferral in stable CAD patients.

Main Results:

  • The overall safety of managing stable coronary artery disease has been established.
  • Limited studies have directly compared deferral versus revascularization.
  • Current literature suggests no significant difference in outcomes between revascularization and deferral in stable CAD.

Conclusions:

  • Deferral of revascularization appears to be a safe strategy with comparable long-term outcomes to intervention in stable coronary artery disease.
  • Further research may be warranted to solidify these findings and guide clinical decision-making.
Abstract

Keywords:
CABGCoronary angiogramFractional flow reserve (FFR)PCIRevascularizationStable coronary artery disease

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