Тhe choice of surgical treatment for patients with stable angina pectoris

The article presents generalized literature data on the relevance of the problem of myocardial revascularization in patients with angina pectoris. Various methods of surgical treatment of this pathology that currently exist are described, their positive and negative sides are clarified. The effectiveness of open surgical and endovascular interventions in patients with chronic coronary syndrome was compared. It is indicated that the most promising method of treating multivessel lesions in hig-hrisk patients is a hybrid intervention combining the advantages of open and endovascular interventions. The hemodynamic significance of borderline stenosis should be determined by evaluating the functional reserve of coronary blood flow. The peculiarities of choosing one or another method of revascularization based on the generally accepted scale of coronary artery lesion Suntax Score are emphasized. The disadvantages of the existing criteria are indicated and justified