Drug eluting stents versus coronary artery bypass surgery in patients with isolated proximal lesion in left anterior descending artery suffering from chronic stable angina

Abstract

The present study demonstrated that patients suffering from chronic stable angina with isolated lesion in the proximal segment of LAD have excellent long-term outcome in both surgical and DES treatment.

Comparison of Sirolimus-Eluting Stenting With Minimally Invasive Bypass Surgery for Stenosis of the Left Anterior Descending Coronary Artery

“…Other studies described similar relief of angina in the range of 67% to 96% for PCI and 83% to 85% for MIDCAB (7,22,23). For PCI in general, several studies …”

Percutaneous Treatment With Drug-Eluting Stent vs Bypass Surgery in Patients Suffering From Chronic Stable Angina With Multivessel Disease Involving Significant Proximal Stenosis in Left Anterior Descending Artery

“…Several published studies demonstrated that late patency of the internal mammary artery grafts was superior to DES when it comes to treating the proximal lesion in LAD. 45,46 In addition, each patient treated with CABG in our study has a LIMA to LAD graft. The factors mentioned above principally account for the lower rate of repeat revascularization in the CABG group.…”

Comparison of minimally invasive direct coronary artery bypass and drug-eluting stents for management of isolated left anterior descending artery disease: a systematic review and meta-analysis of 7,710 patients

“…Our search yielded 332 relevant reports, and after screening and reviewing full manuscripts, 12 studies met the inclusion criteria (10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21). The process of study selection is shown in Figure 1.…”

“…The study designs and participant characteristics of the included studies are listed in Tables 1,2. There were three randomized controlled trials (RCTs) (11,18,21) and nine cohort studies (10,(12)(13)(14)(15)(16)(17)19,20). Most studies had >100 participants in each arm except for four studies (11,14,18,21).…”