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Long-Term Mortality of 306,868 Patients with Multi-Vessel Coronary Artery Disease: CABG versus PCI.
Br J Med Med Res ; 2013 Oct-Dec; 3(4): 1248-1257
Artículo en Inglés | IMSEAR | ID: sea-162992
ABSTRACT

Background:

Several randomized controlled trials (RCT) have reported no difference in long-term mortality between coronary artery bypass grafting (CABG) and percutaneous coronary intervention (PCI). The purpose of this pooled observational analysis was to compare recent retrospective studies examining long-term survival of patients with multivessel coronary artery disease undergoing CABG and PCI.

Methodology:

We searched Medline for observational studies comparing long-term (>1 year) survival between CABG and PCI for the treatment of multi-vessel coronary artery disease over the past 10 years.

Results:

Eight studies met inclusion criteria. A total of 306,868 patients (155,502 CABG; 151,366 PCI) were identified. Follow-up ranged from 1 to 8 years. Mantel-Haenszel combined hazard ratios (HR) for mortality demonstrated a protective benefit of CABG compared with PCI (HR=0.77, 95%CI=0.75-0.79).

Conclusion:

These findings suggest a long-term survival advantage for CABG compared with PCI in patients with multi-vessel coronary artery disease.

Texto completo: Disponible Índice: IMSEAR (Asia Sudoriental) Tipo de estudio: Ensayo Clínico Controlado / Estudio observacional / Estudio pronóstico Idioma: Inglés Revista: Br J Med Med Res Año: 2013 Tipo del documento: Artículo

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Texto completo: Disponible Índice: IMSEAR (Asia Sudoriental) Tipo de estudio: Ensayo Clínico Controlado / Estudio observacional / Estudio pronóstico Idioma: Inglés Revista: Br J Med Med Res Año: 2013 Tipo del documento: Artículo