Percutaneous coronary intervention or coronary artery bypass graft surgery for left main coronary artery disease: A meta-analysis of randomized trials

被引：18

作者：

Kuno, Toshiki ^{[1
]}

Ueyama, Hiroki ^{[1
]}

Rao, Sunil V. ^{[2
]}

Cohen, Mauricio G. ^{[3
]}

Tamis-Holland, Jacqueline E. ^{[4
]}

Thompson, Craig ^{[5
]}

Takagi, Hisato ^{[6
]}

Bangalore, Sripal ^{[5
]}

机构：

[1] Mt Sinai Beth Israel, Icahn Sch Med Mt Sinai, Dept Med, New York, NY USA

[2] Duke Clin Res Inst, Durham, NC USA

[3] Univ Miami, Miller Sch Med, Cardiovasc Div, Miami, FL 33136 USA

[4] Mt Sinai St Lukes Hosp, New York, NY USA

[5] NYU, Sch Med, Div Cardiovasc Med, New York, NY USA

[6] Shizuoka Med Ctr, Dept Cardiovasc Surg, Shizuoka, Japan

来源：

AMERICAN HEART JOURNAL | 2020年 / 227卷

关键词：

D O I：

10.1016/j.ahj.2020.06.001

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

We aimed to investigate long-term (>= 5 years) outcomes of percutaneous coronary intervention (PCI) versus coronary artery bypass grafting (CABG) for left main coronary artery disease (LMCAD) using a meta-analysis from updated published randomized trials. Our data showed that the risk of all-cause death as well as cardiovascular death, myocardial infarction, and stroke was similar between PCI and CABG, whereas PCI had significantly higher rates of repeat revascularization compared to CABG. Decisions for PCI versus CABG for LMCAD should be based on weighing the upfront morbidity and mortality risk of CABG with late risk of repeat revascularization with PCI and taking into consideration patient preference.

引用

页码：9 / 10

页数：2

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