Cardiac surgery versus stenting: what is better for the patient?

Abstract:

:Patterns of myocardial revascularization have changed significantly over the past decade. There has been a relative decrease of coronary artery bypass grafting (CABG) compared with percutaneous coronary intervention (PCI) and some patients are undergoing PCI for coronary lesions traditionally reserved for CABG. The mid- to long-term results of several trials comparing PCI with CABG have recently been published. For three-vessel disease, CABG is superior to PCI, with lower rates of major adverse cardiac events. PCI may be equivalent to CABG for three-vessel disease in the lowest disease complexity tercile (SYNTAX score <22; ∼20% of patients). This review focuses on the most recent evidence for myocardial revascularization in patients with multi-vessel and left main coronary artery disease.

journal_name

ANZ J Surg

journal_title

ANZ journal of surgery

authors

Edelman JJ,Wilson MK,Bannon PG,Vallely MP

doi

10.1111/j.1445-2197.2012.06262.x

subject

Has Abstract

pub_date

2012-11-01 00:00:00

pages

792-8

issue

11

eissn

1445-1433

issn

1445-2197

journal_volume

82

pub_type

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