Comparison of Effectiveness of Coronary Artery Bypass Grafting Versus Percutaneous Coronary Intervention in Patients With Ischemic Cardiomyopathy

Buszman, Paweł; Szkrobka, I.; Gruszka, Agata; Parma, Radosław; Tendera, Zofia; Lesko, B.; Wilczyński, Mirosław; Bochenek, Tomasz; Wojakowski, Wojciech; Bochenek, Andrzej; Tendera, Michał

doi:10.1016/j.amjcard.2006.07.056

Cited by 41 publications

(33 citation statements)

References 12 publications

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“…20,22,23,25,28,30,33,35 There was a statistically significant reduction in RR with CABG compared with PCI treatment; the respective rates were 5. …”

Section: Repeat Revascularizationmentioning

confidence: 92%

“…In a subanalysis of secondary end points, we found significantly reduced risk for MI and RR in patients treated with CABG versus PCI. 20,[22][23][24][25]30,33,35 ; (B) repeat revascularization 20,22,23,25,28,33,35 ; and (C) stroke. 20 46 and subsequent metaanalyses 47 have suggested that intermediate-term mortality after interventional revascularization using modern stent systems is comparable to CABG, with a reduced risk of stroke but a higher need for RR.…”

Section: Discussionmentioning

confidence: 99%

“…10,15,16,[18][19][20][21][22][23][24]26,[29][30][31][32][33][34][35] For the remaining 5 articles, data were abstracted from the study summaries. 8,17,25,27,28 Patient baseline characteristics are shown in Table 2.…”

Section: Study Selection and Patient Populationsmentioning

confidence: 99%

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Survival Benefits of Invasive Versus Conservative Strategies in Heart Failure in Patients With Reduced Ejection Fraction and Coronary Artery Disease

Wolff

Dimitroulis

Andreotti

et al. 2017

Circ: Heart Failure

146

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Background— Heart failure with reduced ejection fraction caused by ischemic heart disease is associated with increased morbidity and mortality. It remains unclear whether revascularization by either coronary artery bypass grafting (CABG) or percutaneous coronary intervention (PCI) carries benefits or risks in this group of stable patients compared with medical treatment. Methods and Results— We performed a meta-analysis of available studies comparing different methods of revascularization (PCI or CABG) against each other or medical treatment in patients with coronary artery disease and left ventricular ejection fraction ≤40%. The primary outcome was all-cause mortality; myocardial infarction, revascularization, and stroke were also analyzed. Twenty-one studies involving a total of 16 191 patients were included. Compared with medical treatment, there was a significant mortality reduction with CABG (hazard ratio, 0.66; 95% confidence interval, 0.61–0.72; P <0.001) and PCI (hazard ratio, 0.73; 95% confidence interval, 0.62–0.85; P <0.001). When compared with PCI, CABG still showed a survival benefit (hazard ratio, 0.82; 95% confidence interval, 0.75–0.90; P <0.001). Conclusions— The present meta-analysis indicates that revascularization strategies are superior to medical treatment in improving survival in patients with ischemic heart disease and reduced ejection fraction. Between the 2 revascularization strategies, CABG seems more favorable compared with PCI in this particular clinical setting.

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“…20,22,23,25,28,30,33,35 There was a statistically significant reduction in RR with CABG compared with PCI treatment; the respective rates were 5. …”

Section: Repeat Revascularizationmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Survival Benefits of Invasive Versus Conservative Strategies in Heart Failure in Patients With Reduced Ejection Fraction and Coronary Artery Disease

Wolff

Dimitroulis

Andreotti

et al. 2017

Circ: Heart Failure

146

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“…Transluminal angioplasty of coronary artery or bypass graft implant can be used for CABG because both induce improvement in left ventricular contractility in dysfunctional areas or segments adjacent to infarcted areas, thus acting synergistically with betablocker therapy for reverse ventricular remodeling. Probably because of the small number of complications, percutaneous transluminal coronary artery may have a better prognosis than the implantation of coronary bypass in patients with ischemic cardiomyopathy [11]. In refractory ischemic heart disease, as observed in the case reported by Braulio et al [8], heart transplantation is valid treatment option.…”

Section: See Also Short Communication On Pages 481-484mentioning

confidence: 85%

Cardiomiopatia isquêmica terminal associada à extrusão de stent para a luz da aorta

Bestetti¹

2011

Rev Bras Cir Cardiovasc

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“…Revascularization procedures (CABG or PCI) were performed more frequently among these patients. Malenka et al indicated that patients with three-vessel CAD more frequently underwent CABG than those who had undergone two-vessel CAD -PCI [16]. We believe patients with LV dysfunction and CAD should be considered as a special priority.…”

Section: Discussionmentioning

confidence: 99%

Quality of life in patients with severe left ventricle dysfunction due to coronary artery disease

et al. 2011

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Comparison of Effectiveness of Coronary Artery Bypass Grafting Versus Percutaneous Coronary Intervention in Patients With Ischemic Cardiomyopathy

Cited by 41 publications

References 12 publications

Survival Benefits of Invasive Versus Conservative Strategies in Heart Failure in Patients With Reduced Ejection Fraction and Coronary Artery Disease

Survival Benefits of Invasive Versus Conservative Strategies in Heart Failure in Patients With Reduced Ejection Fraction and Coronary Artery Disease

Cardiomiopatia isquêmica terminal associada à extrusão de stent para a luz da aorta

Quality of life in patients with severe left ventricle dysfunction due to coronary artery disease

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