Key result
PCI and CABG development for CHD evolves from methodological improvements to standardized recommendations.
This review outlines the historical evolution and standardization of surgical and endovascular revascularization methods for coronary heart disease.
Reinforces current revascularization standards without altering practice; leaves open questions on future technique optimization.
Currently, two methods of coronary revascularization are used in coronary surgery – percutaneous coronary interventions and coronary bypass grafting. Technical capabilities allow using them both for the treatment of chronic coronary heart disease and in surgery for acute myocardial infarction.The development of cardiosurgical and endovascular areas has gone through two main stages. The first was to develop and improve the methodology itself and the second was to create standards and recommendations governing the treatment of coronary heart disease based on experience and accumulated results. At the present stage, individual technical aspects are subject to even greater standardization, which relate to both the selection and preparation for surgical treatment and individual stages of revascularization.
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Fastakovskiy et al. (2023) conducted a review in Stable coronary heart disease and acute myocardial infarction. Percutaneous coronary interventions and coronary bypass grafting was evaluated. The development of percutaneous coronary interventions and coronary bypass grafting for coronary heart disease has evolved from methodological improvement to the creation of standardized recommendations.
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