Intensive care medicine

Revascularization

Surgery

Artery

Bypass grafting

Cardiology

Fractional flow reserve

Coronary artery disease

Myocardial revascularization

Myocardial infarction

Internal medicine

Coronary angiography

Medicine

Current Opinion in Cardiology

Purpose of review Coronary revascularization is known to be an excellent treatment for coronary artery disease. However, whether incomplete myocardial revascularization compromises long-term outcomes, as compared to complete revascularization (CR), remains contentious. Herein, we review the concept of and evidence on CR/incomplete revascularization (ICR) and discuss future perspectives. Recent findings When possible, achieving CR in coronary artery bypass grafting is desirable; nonetheless, ICR is also a reasonable option to balance the therapeutic benefits against the risks. Summary Although angiography-based assessment currently remains the standard of care, fractional flow reserve guidance may reduce the number of lesions requiring revascularization, which may be helpful for an appropriate surgical revascularization strategy. In particular, utilizing this approach may refine hybrid revascularization procedures, especially among high-risk patients.

What does complete revascularization mean in 2021? – Definitions, implications, and biases