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Review highlights invasive physiology techniques and imaging methods for managing three-vessel CAD, suggesting improved strategies.
Three-vessel coronary artery disease (CAD) is common in clinical practice and associated with high incidence of complications and mortality. Optimal myocardial revascularization strategy in this group of patients is still a matter of debates despite large scientific data. This review evaluates current approaches for myocardial revascularization in patients with three-vessel CAD based on newly published literature data. We describe invasive physiology (fractional flow reserve, instantaneous wave-free ratio), intravascular ultrasound and combination of these modalities in patients with three-vessel CAD.
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Alekyan et al. (2025) studied this question.
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