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Percutaneous coronary intervention or coronary artery bypass graft surgery for left main coronary artery disease: A meta-analysis of randomized trials.

Authors :
Kuno, Toshiki
Ueyama, Hiroki
Rao, Sunil V.
Cohen, Mauricio G.
Tamis-Holland, Jacqueline E.
Thompson, Craig
Takagi, Hisato
Bangalore, Sripal
Source :
American Heart Journal; Sep2020, Vol. 227, p9-10, 2p
Publication Year :
2020

Abstract

We aimed to investigate long-term (≥5 years) outcomes of percutaneous coronary intervention (PCI) versus coronary artery bypass grafting (CABG) for left main coronary artery disease (LMCAD) using a meta-analysis from updated published randomized trials. Our data showed that the risk of all-cause death as well as cardiovascular death, myocardial infarction, and stroke was similar between PCI and CABG, whereas PCI had significantly higher rates of repeat revascularization compared to CABG. Decisions for PCI versus CABG for LMCAD should be based on weighing the upfront morbidity and mortality risk of CABG with late risk of repeat revascularization with PCI and taking into consideration patient preference. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
00028703
Volume :
227
Database :
Supplemental Index
Journal :
American Heart Journal
Publication Type :
Academic Journal
Accession number :
145320625
Full Text :
https://doi.org/10.1016/j.ahj.2020.06.001