What Are the Revascularization Options For This 75-Year-Old Man With Hypertension and Diabetes?
A 75-year-old Caucasian man with hypertension, hyperlipidemia, diabetes mellitus II and previous myocardial infarction presents to the cardiovascular medicine clinic for evaluation of stable angina. He is already on maximum doses of long-acting nitrate, ranolazine and a beta-blocker. He continues to have angina and his activity is extremely limited. His heart rate is 52 beats/min and his blood pressure is 95/60 mm Hg. His cardiopulmonary examination is normal. Stress testing with myocardial perfusion imaging is performed and reveals an exercise-induced reversible defect in the inferior wall. The left ventricular ejection fraction is normal. Coronary angiography reveals a long occlusion of the mid right coronary artery that fills via collaterals from the left anterior descending coronary artery. There is no significant disease elsewhere. You consider other options for his management as he is already on maximal medical therapy.
Which of the following statements regarding revascularization options is correct?