2009 - Percutaneous coronary intervention was not as effective as CABG for severe coronary artery disease

Willett, Laura Rees
July 2009
ACP Journal Club;7/21/2009, Vol. 151 Issue 1, p7
Academic Journal
The article focuses on a study on the noninferiority of percutaneous coronary intervention (PCI) to coronary artery bypass grafting (CABG) for preventing major adverse cardiac or cerebrovascular events in patients with severe coronary artery disease. The results concluded that risks for the composite endpoint and repeated revascularization were higher after PCI than after CABG, but risk for stroke was lower.


Related Articles

  • Comparison of Pulmonary Gas Exchange in OPCAB Versus Conventional CABG. Syed, Aitizaz; Fawzy, Hosam; Farag, Atef; Nemlander, Arto // Heart, Lung & Circulation;Jun2004, Vol. 13 Issue 2, p168 

    Background. Cardiopulmonary bypass has been implicated as a cause of acute lung injury in cardiac surgical patients. This could be avoided with off-pump coronary artery bypass surgery.Aim. To ascertain the possible benefit of OPCAB surgery on pulmonary gas exchange.Methods. We randomized 75...

  • The Benefits of Off-Pump Coronary Bypass A Reality or an Illusion? Livesay, James J. // Texas Heart Institute Journal;2003, Vol. 30 Issue 4, p258 

    Focuses on an article which compares the efficacy of coronary artery bypass and off-pump coronary bypass (OPCAB). Impact of OPCAB; Discussion on the safety and success of coronary artery bypass.

  • Life Threatening Protamine Reactions In Cardiac Surgery: Literature Review With A Case Report. Arslan, Yücesin // Internet Journal of Thoracic & Cardiovascular Surgery;2004, Vol. 7 Issue 1, p25 

    Immunologic reactions to protamine sulfate during cardiac surgery are very rare. The frequency and outcome of such adverse reactions isunclear. We report a case of a severe anaphylactic reaction to protamine that occurred in a diabetic patient following the uneventful coronary artery bypass...

  • Left subclavian artery stenosis with subclavian -- subclavian bypass. Roguin, A.; Heldman, A. W.; Riley, R. D.; Alhadaad, I. A. // Heart;Mar2005, Vol. 91 Issue 3, p372 

    The article presents a medical case where an arch aortography demonstrates an occluded brachiocephalic trunk and subclavian-subclavian bypass graft (SSBG) in a 56 year, old woman with left main and triple coronary artery disease requiring coronary artery bypass graft (CABG) surgery. A selective...

  • Left subclavian artery free graft as a salvage technique after failed coronary artery transfer in arterial switch operation. Sung, Si Chan; Chang, Yun Hee; Lee, Hyoung Doo; Woo, Jong Soo // European Journal of Cardio-Thoracic Surgery;Mar2005, Vol. 27 Issue 3, p515 

    Abstract: Coronary artery transfer in transposition of the great arteries with single coronary artery or intramural coronary artery is still a technically demanding procedure. We present a technique of left coronary bypass using a free graft of left subclavian artery for the management of failed...

  • Relation of Cytokines to Vasodilation after Coronary Artery Bypass Grafting World J. Surg. Vol. 27, No. 10, October 2003. Wei, Minxin; Kuukasjärvi, Pekka; Laurikka, Jari; Kaukinen, Seppo; Honkonen, Eva-Liisa; Metsänoja, Riina; Tarkka, Matti // World Journal of Surgery;Oct2003, Vol. 27 Issue 10, p1093 

    Hemodynamic instability is frequent after coronary surgery. The present study tested the hypothesis that inflammation, as determined by circulating cytokine levels, may contribute to the difficulty of controlling arterial blood pressure after coronary artery bypass grafting. A group of 44 male...

  • Umbilical Vein for Aortocoronary Bypass. Silver, Gary M.; Katske, Gordon E.; Stutzman, F. L.; Wood, Newell E. // Angiology;Jul1982, Vol. 33 Issue 7, p450 

    The article presents information on the umbilical vein for aortocoronary bypass. With the increased volume of coronary artery bypass surgery, it is not unusual for surgeons to encounter patients who lack satisfactory saphenous veins for use in the aortocoronary position. Twenty-two aortocoronary...

  • CABG Is More Effective For Multiple Clogs.  // RN;Jul2005, Vol. 68 Issue 7, p22 

    The article focuses on a large study comparing coronary artery bypass grafting (CABG) to stenting for patients with more than one blocked artery. It found that those undergoing CABG are more likely to survive and less likely to need revascularization. Researchers looked at the outcomes of about...

  • Coronary Artery Bypass Grafting. Parmet, Sharon; Lynm, Cassio; Glass, Richard M. // JAMA: Journal of the American Medical Association;4/21/2004, Vol. 291 Issue 15, p1922 

    Presents information on coronary artery bypass grafting, a surgical procedure that uses veins from the leg or arteries from another part of the body to reroute blood around a blockage in the arteries that supply the heart with blood and oxygen. Symptoms and procedures; Recovering from this surgery.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics