I am but a humble EMR cash register aficionado, but I don’t recall the most recent ACC guidelines making a strong commitment or recommendation for “less complex” multivessel lesions on PCI vs. CABG intervention. If bad anatomy with high SYNTAX score me thinks CABG is recommended (depending on other health factors obviously).

Also what’s considered complex for some may not be as complex for others depending on the pump bro or gal running the show.

Three stents to one vessel sounds sorta complex to me, but I also know shit about fuck.

Sadly, It is fashionable today to cover the arteries as if they were a pipe plastered with silly potty, perhaps due to the low complexity of the procedure. Unfortunately, I do not believe that 5 to 10 year mortality accompanies this trend. But yes friend the indications that I remember for bypass surgery are:

- Important left main coronary artery stenosis.

- Equivalent to 70% of LAD and circumflex.

- Three-vessel disease.

- Two-vessel disease and fraction <50%

- Angina pectoris refractory to non-invasive treatment.

#Nostr needs a Cardiologist for this thread ... nostr:npub16cfnxee9vpp2vamnrpj4hu0n3kxdm9z0fw4xczmsaa9sykv54uzqgu8gmf 😅