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

Toshiki Kuno, Hiroki Ueyama, Sunil V. Rao, Mauricio G. Cohen, Jacqueline E. Tamis-Holland, Craig Thompson, Hisato Takagi, Sripal Bangalore

Research output: Contribution to journalLetterpeer-review

6 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)9-10
Number of pages2
JournalAmerican Heart Journal
Volume227
DOIs
StatePublished - Sep 2020

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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