Revascularization Strategies in Multivessel Coronary Artery Disease

Multivessel coronary artery disease (MVCAD) is traditionally defined as the presence of a ≥50% diameter stenosis in more than one epicardial vessel. It is documented in 40–60% of patients undergoing coronary angiography and, depending on the clinical presentation, is associated with adverse outcomes compared with single-vessel disease. The management of patients with MVCAD is influenced not only by the extent and severity of disease, but also by the clinical presentation, left ventricular systolic function, and the presence of comorbidities such as diabetes and chronic kidney disease.