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Every year the number of endovascular diagnostic and therapeutic procedures performed in patients with coronary artery disease increases. Today, endovascular myocardial revascularization is the main method of treatment for coronary artery disease. The widespread use of this method became possible thanks to the development and introduction into clinical practice of modern drug-eluting stents, and the use of intravascular imaging and functional assessment of the coronary bed led to the optimization of PCI results and a change in the treatment strategy for patients with coronary artery disease. This review article presents both historical aspects of the development and implementation of these technologies, as well as modern studies and meta-analyses depicting the results of the use of these technologies in patients with multivessel or “severe” (diffuse, tandem, extended, calcified) lesions of the coronary arteries.
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Alekyan et al. (2025) studied this question.
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