Abstract:

Contemporary methods of myocardial revascularization allow improving survival and quality of life in patients with multivessel disease. At the same time, there is still no satisfactory answer where and when one should perform complete myocardial revascularization. The latter is often a difficult task, and we consider well-reasoned incomplete adequate revascularization to be a valid alternative.

This study presents several methods of coronary flow assessment where regional ischemic deficiency is calculated in a mathematical model, evaluating thereby hemodynamic significance of coronary stenoses. Decision of complete or adequate incomplete revascularization can be rooted in these data. 

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