Abstract
Determining the need and modality of coronary revascularization [with percutaneous coronary intervention (PCI) and/or coronary artery bypass graft surgery] depends on clinical presentation, coronary anatomy, and comorbidities. In patients who are good surgical candidates, coronary artery bypass graft surgery is preferred for patients with multivessel coronary artery disease, diabetes mellitus, or low ejection fraction, whereas PCI, including chronic total occlusion PCI is preferred in patients with single-vessel or simple multivessel disease, previous coronary bypass graft surgery, or patients who are poor candidates for surgery. Chronic total occlusion PCI should not be performed ad hoc in most patients.
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