title: [Myocardial revascularization].
abstract: Coronary artery disease (CAD) is a leading cause of morbidity and mortality in western countries and is of significant socio-economic importance due to its increasing prevalence. Until percutaneous coronary interventions (PCI) were established, CAD could only be treated by surgical revascularization or pharmacological therapy. In-stent restenosis remains a major problem after stent implantation. However, the use of new materials and stent coatings have led to a significant reduction in in-stent restenosis. Thus, surgical revascularization and PCI are currently of equal value for the treatment of CAD. The decision-making for PCI or surgical revascularization depends on various factors such as number of diseased vessels, complexity of the coronary stenoses, concomitant diseases, and the patient's general condition. The therapeutic regime of every patient should be adjusted to the recommendations of the European and German Society for Cardiology, while controversial and complex cases should be discussed in an interdisciplinary case conference ("heart team").
authors.affiliation: Abteilung für Kardiologie, Kerckhoff-Klinik Bad Nauheim, Benekestrasse 2-8, Bad Nauheim, Germany. h.moellmann@kerckhoff-klinik.de
authors.forename: H
authors.initials: H
authors.lastname: Möllmann
authors.forename: S
authors.initials: S
authors.lastname: Szardien
authors.forename: J
authors.initials: J
authors.lastname: Kempfert
authors.forename: H
authors.initials: H
authors.lastname: Nef
authors.forename: C
authors.initials: C
authors.lastname: Liebetrau
authors.forename: T
authors.initials: T
authors.lastname: Walther
authors.forename: C
authors.initials: C
authors.lastname: Hamm
mesh_terms: D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D003324:Coronary Artery Disease / Q000150:complications / Q000601:surgery*; D006083:Graft Occlusion, Vascular / Q000209:etiology* / Q000517:prevention & control*; D006801:Humans; D062645:Percutaneous Coronary Intervention / Q000009:adverse effects* / Q000379:methods*; D015607:Stents / Q000009:adverse effects*; D016896:Treatment Outcome
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