coronary disease, multivessel disease
DISEASE INTERVENTION COMPARISON RESULTS
Lancet. 2009 Apr 4;373(9670):1190-7 Meta-Analysis
IN coronary disease, multivessel disease The Use of
coronary artery bypass surgery
As Treatment, Acute
Is equal Than
percutaneous coronary intervention (angioplasty with/out stent)
To reduce long-term (6 years) mortality (15% bypass VS 16% PCI). Bypass may reduce mortality in patients with diabetes or aged > 65 years
N Engl J Med. 2005 May 26;352(21):2174-83 Cohorts
IN coronary disease, multivessel disease (2 or 3 vessels) The Use of
coronary artery bypass surgery
As Treatment, Chronic
Is better Than
percutaneous stent implantation
To reduce death and revascularization at 3 years: rates?
Circulation. 2010 Sep 7;122(10):949-57 Randomized Controlled Trial
IN coronary disease, multivessel disease, stable angina The Use of
coronary artery bypass surgery
As Treatment, Chronic
Is better Than
percutaneous coronary intervention or medical treatment alone or
To reduce at 10 years: myocardial infarction (10% CABG VS 13% PCI VS 21% medical) and need for further revascularization, but there wer no significant difference in overall mortality (75% CABG or PCI, 69% medical Tt, p NS)