This study assessed nonfatal outcomes comparing CABG to PCI for pts with multivessel CAD identified in national registries. The outcome was the composite of death, MI, or stroke. Registry data were linked to Medicare data to obtain outcomes and pts were propensity score matched. The authors identified a total of 86,244 CABG and 103,549 PCI pts. A
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Coronary Disease - PCI
April 24, 2014
This article compares clinical adverse events after percutaneous intervention with drug‐eluting stents (DESs) and coronary artery bypass grafting (CABG) in patients with ESRD. Early mortality is lower with DESs compared with coronary artery bypass in patients with ESRD. Rate of reintervention is significantly higher in the DES cohort.
April 16, 2014
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.
Five-Year Outcomes in Patients with Left Main Disease Treated with Either Percutaneous Coronary Intervention or Coronary Artery Bypass Grafting in the SYNTAX Trial.
April 13, 2014
This manuscript reports on the 5-year outcomes in the 705 patients with left main (LM) lesions enrolled in the randomized arm of the SYNTAX trial. Follow-up data to 5 years were available in 96.9% of patients who underwent PCI and 92.5% of patients randomized to CABG.
April 9, 2014
Bauters C, et al. – There are limited data on the prognosis of patients with stable coronary artery disease (CAD) in modern clinical practice. The mortality rate of patients with stable CAD in modern clinical practice is similar to that of the general population and is mostly due to noncardiovascular causes.
SCAI/ACC/AHA Expert Consensus Document: 2014 Update on Percutaneous Coronary Intervention Without On-Site Surgical Backup
March 29, 2014
Consensus guidelines on performing PCI without on-site surgery backup. The document outlines best practices and requirements for centers performing PCI without on-site surgery and evaluates the role of PCI without on-site surgery within the context of the US healthcare system.
February 6, 2014
Because the optimal management of CAD is unclear for many patients, the authors developed a decision support model for CABG and PCI with bare metal or drug eluting stents. Overall survival rates were similar for the different interventions.