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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Stroke Rates Following Surgical Versus Percutaneous Coronary Revascularization
Submitted by: Claire Vernon
Source: Journal of the American College of Cardiology
Source URL: http://www.onlinejacc.org/content/72/4/386
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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
