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What constitutes optimal surgical revascularization?

Answers from the bypass angioplasty revascularization investigation (BARI)

Thomas J. Vander Salm, MD, FACC^*,*, Kevin E. Kip, PhD, Robert H. Jones, MD, FACC, Hartzell V. Schaff, MD, FACC, Richard J. Shemin, MD, FACC^||, Gabriel S. Aldea, MD, FACC^¶ and Katherine M. Detre, MD, DrPH, FACC

^* Division of Thoracic and Cardiac Surgery, University of Massachusetts Medical School, Worcester, Massachusetts, USA
Department of Epidemiology, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
Duke University Medical Center, Durham, North Carolina, USA
Mayo Clinic, Rochester, Minnesota, USA
^|| Division of Cardiothoracic Surgery, Boston University Medical Center, Boston, Massachusetts, USA
^¶ Division of Cardiothoracic Surgery, University of Washington, Seattle, Washington, USA

View larger version (18K): [in a new window]   Figure 1 The Bypass Angioplasty Revascularization Investigation coronary artery map. Right coronary artery: 1 = proximal; 2 = middle; 3 = distal; 4 = posterior descending; 5 = right posteroatrioventricular; 6 = first posterolateral; 7 = second posterolateral; 8 = third posterolateral; 9 = inferior septal artery; 10 = acute marginal artery. Left coronary artery: 11 = left main; 12 = proximal left anterior descending; 13 = middle left anterior descending; 14 = distal left anterior descending; 15 = first diagonal; 15a = first diagonal branch; 16 = second diagonal; 16a = second diagonal branch; 17 = anterior septals; 18 = proximal circumflex; 19 = middle circumflex; 19a = distal circumflex; 20, 21, 22 = first, second and third obtuse marginal; 20a, 21a, 22a = first, second and third obtuse marginal branches; 23 = left atrioventricular; 24, 25, 26 = first, second and third posterolaterals; 27 = left posterior descending; 28 = Ramus; 28a = Ramus branch; 29 = third diagonal; 29a = third diagonal branch.