Title: Optimal Revascularization in Complex Coronary Artery Disease
题目：复杂性冠状动脉疾病的最佳血运重建
Author 作者: Semhar Tewelde
翻译：葛赟 校对：肖锋

- A multicenter trial 4,566 patients with NSTEMI, unstable angina, and multi-vessel coronary artery disease were enrolled comparing outcomes of cardiac stenting versus coronary artery bypass.
一项多中心试验收集了4566例非ST段抬高型心肌梗死、不稳定性心绞痛、及多支冠脉血管疾病的患者，比较心脏支架置入术和冠脉搭桥术的预后。
- Cardiac stenting was associated with improved outcomes and lower mortality in the following subgroups: age >65 years, women, unstable angina, TIMI score >4, and 2 vessel disease.
心脏支架患者在下列条件下可改善预后，降低死亡率：＞65岁，女性，不稳定型心绞痛，TIMI评分＞4分，2支血管病变。
- Despite high clinical risk，patients who underwent cardiac stenting compared to surgical revascularization did better in this prospective registry. 
虽然临床风险高，在这个前瞻性研究中，心脏支架比外科血运重建预后更好。

References 参考文献：
Buszman P, Buszman P, Bochenek A, et al.  Comparison of Stenting and Surgical Revascularization Strategy in Non-ST Elevation Acute Coronary Syndromes and Complex Coronary Artery Disease (from the Milestone Registry). JACC  Oct 2014 Vol 114, Issue 7, pages 979-987.