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Percutaneous Coronary Intervention Versus Coronary Bypass Surgery for Unprotected Left Main Disease: A Meta-Analysis of Randomized Controlled Trials

Tuesday, September 25, 2018

Submitted by

Emily Robinson

Source

Source Name: Annals of Cardiothoracic Surgery

Source URL: http://www.annalscts.com/article/view/16494/html

Author(s)

Mohamed Rahouma, Ahmed Abouarab, Antonino Di Franco, Jeremy R. Leonard, Christopher Lau, Mohamed Kamel, Lucas B. Ohmes, Leonard N. Girardi, Mario Gaudino

Meta-analysis of composite death/myocardial infarction/stroke/repeat revascularization outcome in 4700 patients across six randomized controlled trials is presented. Percutaneous coronary intervention was associated with a higher risk of the composite outcome in all SYNTAX score tertiles as well as increased risk of repeat revascularization. Additionally, no difference was shown between bare metal stent and drug eluting stents on a sub-group analysis.