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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.

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.

journal_name

Am Heart J

journal_title

American heart journal

authors

Kuno T,Ueyama H,Rao SV,Cohen MG,Tamis-Holland JE,Thompson C,Takagi H,Bangalore S

doi

10.1016/j.ahj.2020.06.001

subject

Has Abstract

pub_date

2020-09-01 00:00:00

pages

9-10

eissn

0002-8703

issn

1097-6744

pii

S0002-8703(20)30175-7

journal_volume

227

pub_type

信件,meta分析

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