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CABG better than PCI in heart failure patients in 1,064 patients at 3 years

Wednesday, April 16, 2014

Submitted by

Joel Dunning

Source

Source Name: European Journal of Cardio-Thoracic Surgery

Source URL: http://www.ncbi.nlm.nih.gov/pubmed/24662243

Author(s)

Marui A, Kimura T, Nishiwaki N, Komiya T, Hanyu M, Shiomi H, Tanaka S, Sakata R; The CREDO-Kyoto PCI/CABG Registry Cohort-2 Investigators.

Ischaemic heart disease is a major risk factor for heart failure. However, long–term benefit of percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) in those patients has not been well elucidated. In patients with heart failure with advanced coronary artery disease, CABG was a better option than PCI because CABG was associated with better survival benefit, particularly in more complex coronary lesions stratified by the SYNTAX score.