Myocardial revascularization: a rebuttal of the cooperative study.

Abstract:

:From January 1972 through December 1974, at Saint Louis University Medical Center (SLU), 345 patients similar to those of the VA Cooperative Coronary Artery Study received CABG. Operative mortality was SLU 2.3%, VA 5.6% (p < 0.05). Perioperative myocardial infarction rate was SLU 8.4%, VA 18% (p < 0.005). One year graft patency was SLU 87%, VA 71%; all grafts patent SLU 76%, VA 54%; at least one graft patent SLU 96%, VA 89%. SLU angina pectoris relief at five years was 90%. SLU patients free of myocardial infarction five years postoperatively was 83%. Comparative cumulative four year survivals were: [Table: see text] Cumulative four-year survival in 272 SLU patients (79%) completely revascularized was 94%, compared to SLU entire group of 95%, VA medical 86% (p < 0.002) and VA surgical 85% (p < 0.002). Comparing 1972-74 SLU results to VA medical and surgical groups, CABG prolonged life in patients with double and triple vessel disease and in those completely revascularized.

journal_name

Ann Surg

journal_title

Annals of surgery

authors

Kaiser GC,Barner HB,Tyras DH,Codd JE,Mudd JG,Willman VL

doi

10.1097/00000658-197809000-00008

subject

Has Abstract

pub_date

1978-09-01 00:00:00

pages

331-40

issue

3

eissn

0003-4932

issn

1528-1140

journal_volume

188

pub_type

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