Key result
Two-staged percutaneous coronary intervention was feasible but complicated by transient acute kidney injury and femoral pseudoaneurysm in a 71-year-old man with multivessel coronary artery disease.
Why the study?
While PCI is the gold standard for single-vessel CAD, the optimal revascularization strategy for multivessel disease remains more challenging.
Case Report (n=1)
In patients with multivessel disease and a high SYNTAX score who refuse CABG, two-staged PCI is a feasible alternative to achieve close-to-complete revascularization, though it carries significant risks of periprocedural complications.
Supports feasibility of two-staged PCI in high-SYNTAX patients refusing CABG; hypothesis-generating and should not yet change practice.
Coronary artery disease (CAD) revascularization either by percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) improves the prognosis in patients with chronic coronary syndrome [1]. Whereas PCI is the gold standard for single-vessel disease, the choice of treatment for multivessel disease (MVD) is more challenging.
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Gąsecka et al. (2021) conducted a case report in Multivessel coronary artery disease (n=1). Two-staged percutaneous coronary intervention was evaluated. Two-staged percutaneous coronary intervention was feasible but complicated by transient acute kidney injury and femoral pseudoaneurysm in a 71-year-old man with multivessel coronary artery disease.
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