ischemia-driven revascularization
Repeat intervention performed specifically in response to documented myocardial ischemia rather than routine angiographic findings.
Full Definition
A clinical approach to coronary revascularization that requires objective evidence of myocardial ischemia before proceeding with repeat intervention. This strategy contrasts with angiography-driven approaches that rely solely on visual stenosis assessment. Ischemia-driven revascularization typically involves stress testing, fractional flow reserve measurement, or clinical presentation of angina. This approach aims to reduce unnecessary procedures and improve patient outcomes by focusing on functionally significant lesions.
Usage
Usage note: Hyphenate when used as compound modifier; avoid confusion with emergency revascularization.
In Context
- "The trial demonstrated a significant reduction in repeat procedures when ischemia-driven revascularization protocols were followed." — Clinical research manuscript
- "Current guidelines recommend ischemia-driven revascularization for patients with multivessel coronary disease." — Treatment protocol document