Long-Term Health Outcomes of Young Patients With Low Complexity Coronary Disease: A Weighted Analysis According to Revascularization Strategy

This single-center study investigated the long-term outcomes of patients aged 60 years old or less with low complexity coronary anatomy with equivalent indication for coronary artery bypass graft (CABG) versus percutaneous coronary intervention (PCI). Other inclusion criteria beyond age included a SYNTAX score of 23 or lower, proximal left anterior descending (LAD) involvement, left main (LM) or multivessel disease (MVD). A total of 68 percent (n=374) of patients underwent PCI as the index revascularization strategy with a median follow-up period of 9.3 years. The authors found that all-cause mortality was higher in patients who underwent PCI at both intermediate five-year and complete follow-up points. At the total follow-up, the incidence rate was 5.8 versus 14.0 deaths per 1,000 people in CABG versus PCI groups, respectively.