Citation
Lee, Michael S., et al. "Comparison of Coronary Artery Bypass Surgery With Percutaneous Coronary Intervention With Drug-eluting Stents for Unprotected Left Main Coronary Artery Disease." Journal of the American College of Cardiology, vol. 47, no. 4, 2006, pp. 864-70.
Lee MS, Kapoor N, Jamal F, et al. Comparison of coronary artery bypass surgery with percutaneous coronary intervention with drug-eluting stents for unprotected left main coronary artery disease. J Am Coll Cardiol. 2006;47(4):864-70.
Lee, M. S., Kapoor, N., Jamal, F., Czer, L., Aragon, J., Forrester, J., Kar, S., Dohad, S., Kass, R., Eigler, N., Trento, A., Shah, P. K., & Makkar, R. R. (2006). Comparison of coronary artery bypass surgery with percutaneous coronary intervention with drug-eluting stents for unprotected left main coronary artery disease. Journal of the American College of Cardiology, 47(4), 864-70.
Lee MS, et al. Comparison of Coronary Artery Bypass Surgery With Percutaneous Coronary Intervention With Drug-eluting Stents for Unprotected Left Main Coronary Artery Disease. J Am Coll Cardiol. 2006 Feb 21;47(4):864-70. PubMed PMID: 16487857.
TY - JOUR
T1 - Comparison of coronary artery bypass surgery with percutaneous coronary intervention with drug-eluting stents for unprotected left main coronary artery disease.
AU - Lee,Michael S,
AU - Kapoor,Nikhil,
AU - Jamal,Faizi,
AU - Czer,Lawrence,
AU - Aragon,Joseph,
AU - Forrester,James,
AU - Kar,Saibal,
AU - Dohad,Suhail,
AU - Kass,Robert,
AU - Eigler,Neal,
AU - Trento,Alfredo,
AU - Shah,Prediman K,
AU - Makkar,Raj R,
Y1 - 2006/01/06/
PY - 2005/06/16/received
PY - 2005/08/10/revised
PY - 2005/09/08/accepted
PY - 2006/2/21/pubmed
PY - 2006/4/29/medline
PY - 2006/2/21/entrez
SP - 864
EP - 70
JF - Journal of the American College of Cardiology
JO - J Am Coll Cardiol
VL - 47
IS - 4
N2 - OBJECTIVES: This study evaluated the clinical outcomes of consecutive, selected patients treated with coronary artery bypass graft (CABG) surgery or percutaneous coronary intervention (PCI) with drug-eluting stents (DES) for unprotected left main coronary artery (ULMCA) disease. BACKGROUND: Although recent data suggest that PCI with DES provides better clinical outcomes compared to bare-metal stenting for ULMCA disease, there is a paucity of data comparing PCI with DES to CABG. METHODS: Since April 2003, when DES first became available at our institution, 123 patients underwent CABG, and 50 patients underwent PCI with DES for ULMCA disease. RESULTS: High-risk patients (Parsonnet score >15) comprised 46% of the CABG group and 64% of the PCI group (p = 0.04). The 30-day major adverse cardiac and cerebrovascular event (MACCE) rate for CABG and PCI was 17% and 2% (p < 0.01), respectively. The mean follow-up was 6.7 +/- 6.2 months in the CABG group and 5.6 +/- 3.9 months in the PCI group (p = 0.26). The estimated MACCE-free survival at six months and one year was 83% and 75% in the CABG group versus 89% and 83% in the PCI group (p = 0.20). By multivariable Cox regression, Parsonnet score, diabetes, and CABG were independent predictors of MACCE. CONCLUSIONS: Despite a higher percentage of high-risk patients, PCI with DES for ULMCA disease was not associated with an increase in immediate or medium-term complications compared with CABG. Our data suggest that a randomized comparison between the two revascularization strategies for ULMCA may be warranted.
SN - 1558-3597
UR - https://www.unboundmedicine.com/medline/citation/16487857/Comparison_of_coronary_artery_bypass_surgery_with_percutaneous_coronary_intervention_with_drug_eluting_stents_for_unprotected_left_main_coronary_artery_disease_
L2 - https://linkinghub.elsevier.com/retrieve/pii/S0735-1097(05)03037-8
DB - PRIME
DP - Unbound Medicine
ER -