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Multi-vessel Disease Percutaneous Coronary Intervention versus Coronary Artery Bypass Grafting in Patients with Chronic Kidney Disease
- Source :
- Web of Science
- Publication Year :
- 2023
- Publisher :
- Sciencedomain International, 2023.
-
Abstract
- Introduction Coronary revascularization is associated with better prognosis in multivessel coronary artery disease (MV-CAD) chronic kidney disease (CKD) patients. However, whether coronary artery bypass grafting (CABG) or percutaneous coronary intervention (PCI) is better remains unknown. Aim of the study To compare outcome of multi-vessel PCI versus CABG in the group of patients with CKD regarding in-hospital and one-year major adverse cardiovascular and cerebrovascular events (MACCE). Methods A retrospective analysis of the data of patients with established CKD with eGFR less than 60 ml/min with MV-CAD who underwent PCI or CABG were compared as regards in-hospital and one-year MACCE. Results A total number of 565 patients were reviewed, 230 patients had PCI while 335 patients had CABG. Comparing both groups regarding in-hospital MACCE, patients who had mutli-vessel PCI had significantly lower in-hospital death, cerebrovascular events and total MACCE than patients who had CABG (P-value = 0.03, 0.01, 0.04 respectively). While comparing both groups regarding 1-year MACCE, patients who had mutli-vessel PCI had significantly lower cerebrovascular events and total MACCE than patients who had CABG (P-value = 0.02, 0.03 respectively). Conclusion On the contrary to previously published data, in a retrospective study to determine which is better in CKD MV-CAD patients, Multi-vessel PCI for CKD patients and MVCAD had advantages over CABG as regards in-hospital and 1-year cerebrovascular accidents (stroke/TIA) and total MACCE. Large randomized controlled trials are needed to confirm our findings. Funding Acknowledgement Type of funding source: None
- Subjects :
- medicine.medical_specialty
Bypass grafting
business.industry
medicine.medical_treatment
Percutaneous coronary intervention
medicine.disease
Comorbidity
Coronary artery bypass surgery
surgical procedures, operative
medicine.anatomical_structure
Internal medicine
medicine
Cardiology
General Earth and Planetary Sciences
In patient
cardiovascular diseases
Cardiology and Cardiovascular Medicine
business
Multi vessel disease
Kidney disease
Artery
General Environmental Science
Subjects
Details
- ISSN :
- 2347520X
- Database :
- OpenAIRE
- Journal :
- Cardiology and Angiology: An International Journal
- Accession number :
- edsair.doi.dedup.....5ecbd49efa503215037c7f2e261912e2