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Comment & Response
March 28, 2018

Complete vs Incomplete Revascularization During Percutaneous Coronary Intervention and Improved Survival—The Key Is Immortality

Author Affiliations
  • 1Smith Center for Outcomes Research in Cardiology, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts
  • 2Harvard Medical School, Boston, Massachusetts
  • 3Division of Cardiology, Department of Medicine; Massachusetts General Hospital, Boston
JAMA Cardiol. Published online March 28, 2018. doi:10.1001/jamacardio.2018.0078

In a study examining the association between incomplete revascularization and mortality among patients undergoing percutaneous coronary intervention (PCI) in New York, Hannan et al1 found that incomplete revascularization of coronary lesions with at least 90% stenosis, comprising 2 or more vessels or involving the proximal left anterior descending artery, was associated with higher risk of medium-term mortality compared with complete revascularization. Incomplete revascularization was also more frequent among those with vs without ST-elevation myocardial infarction.

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