Optimal Method of Revascularization in Patients With Multivessel Coronary Artery Involvement for Application of Drug Eluting Stents: Percutaneous Coronary Interventions in Comparison With Coronary Bypassing

Drug eluting stents (DES) which appeared in the beginning of 21-st century allowed to elevated percutaneous coronary interventions (PCI) to a novel level. High efficacy of DES has been proven in a row of conducted clinical studies: after their implantation low percentage of in-stent restenosis and low rate of repetitive target vessel revascularizations have been obtained. At the same time there occurred definite improvements in the technique of coronary bypass surgery. Therefore a question of choice of optimal method of revascularization in patients with multivessel lesions remains open. In this review we present results of a row of large studies in which coronary bypassing and PCI with implantation of DES has been compared in patients with multivessel lesions.