LM disease; 5.
troversy about the indication for a particular treatment (PCI vs. CABG vs. OMT). Collaborative care requires the preconditions of communication, comprehension, and trust. It is essential to realize that health care decisions can no longer be based solely on research results and our appraisal of the patient's circum- stances.
21 Feb 2017 CABG with surgical ventricular restoration may be considered in patients with scarred LAD territory‡1,9. IIb. B. IIb. B. PCI may be considered if anatomy is suitable, in the presence of viable myocardium, and surgery is not indicated1. IIb. C. NSER. CABG might be considered with the primary or sole intent of
16 Jun 2017 In this retrospective analysis, patients were included if undergoing their first, nonemergency, coronary revascularization (PCI or CABG) for multivessel CAD. All patients had significant LAD disease and, in cases of CABG, must have received a LITA-LAD graft and a minimum of 2 bypass grafts.
'I believe that surgical societies should no longer provide a 'token' surgeon on cardiology guidelines as they are hopelessly 'outgunned' and ineffectual against what are, in effect, exclusive cardiology dictates. If surgical opinion is genuinely to be heard, there must be comparable numbers of surgeons on writing committees.
28 Feb 2017 Moreover, substantial improvements in secondary prevention and guideline-directed medical therapy have improved outcomes for all patients with ischemic heart dis- ease. Therefore, contemporary randomized trials are necessary to reexamine the outcomes of both PCI and CABG in patients with multivessel disease.
Revascularization with the use of PCI; PCI with drug-eluting stents vs. bare-metal stents; Revascularization with the use of coronary artery bypass grafting Risk factors for stroke associated with myocardial revascularization; Preventive measures to reduce the risk of stroke after CABG; Carotid revascularization in patients
2 Dec 2013 Importance Recent trials of percutaneous coronary intervention (PCI) vs coronary artery bypass grafting (CABG) for multivessel disease were not designed to detect a difference in mortality and therefore were underpowered for this outcome. Consequently, the comparative effects of these 2 revascularization
16 Mar 2015 Current guidelines suggest that CABG is the revascularization strategy of choice, but the studies that formed the basis for those recommendations In the New York registry study, at a mean follow-up of 2.9 years, the PCI group, as compared with CABG, had a higher risk of MI (1.9% per year vs 1.1%
The debate over the optimal mode of revascularization for patients with multivessel coronary disease still continues, but recent trials and registries showed a long-term prognostic advantage for coronary artery bypass grafting (CABG) over percutaneous coronary intervention (PCI) that was independent of subgroups

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February 2018