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  1. Cardiac

Stroke Rates Following Surgical Versus Percutaneous Coronary Revascularization

  • July 31, 2018

Submitted by: Claire Vernon

Source: Journal of the American College of Cardiology
Source URL: http://www.onlinejacc.org/content/72/4/386

Keywords:

  • Cardiac
Author(s): Stuart J. Head, Milan Milojevic, Joost Daemen, Jung-Min Ahn, Eric Boersma, Evald H. Christiansen, Michael J. Domanski, Michael E. Farkouh, Marcus Flather, Valentin Fuster, Mark A. Hlatky, Niels R. Holm, Whady A. Hueb, Masoor Kamalesh, Young-Hak Kim, Timo Mäkikallio, Friedrich W. Mohr, Grigorios Papageorgiou, Seung-Jung Park, Alfredo E. Rodriguez, Joseph F. Sabik III, Rodney H. Stables, Gregg W. Stone, Patrick W. Serruys, A. Pieter Kappetein

Head and colleagues used a patient-data pooled analysis of 11 randomized clinical trials to compare stroke rates between surgical and percutaneous coronary revascularization. They found that in the first 30 postoperative days, the stroke rate was higher after coronary artery bypass grafting (CABG, 1.1%) than after percutaneous coronary intervention (PCI, 0.4%), and this early difference accounted for the difference in the stroke rate seen at 5 years. Between 31 days and 5 years, stroke rates were not different between CABG and PCI (2.1% versus 2.2%). Regardless of the revascularization approach, patients experiencing a stroke in the first 30 days had significantly higher 5-year mortality than those not experiencing early stroke.

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TAGS
  • Coronary Disease - PCI
  • Coronary Disease - Surgery

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