Late clinical outcomes of unselected patients with diabetic mellitus and multi-vessel coronary artery disease

Ebrahim, Mohamed Eftal bin Mohamed; Dignan, Rebecca; Femia, Giuseppe; Kim, Samuel; Gregory, Gabriel A; Burgess, Sonya; Hee, L.; Mussap, C.; Aty, Waleed; Lo, S.; Juergens, C.; French, John K.

doi:10.1016/j.ijcard.2019.07.038

Cited by 4 publications

(1 citation statement)

References 21 publications

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“…8 While this 8-year follow-up of the original trial patients only recorded survival information, a single-center analysis on 430 freedom-like patients, who received either medical, interventional, or surgical therapy, demonstrated the lowest long-term mortality and the lowest rate of new myocardial infarctions in the CABG group. 9 A meta-analysis of 20 studies comparing PCI and CABG in patients with reduced ejection fraction and at least 1-year follow-up (more than 54,000 patients) demonstrated again a mortality benefit for CABG over PCI, again associated with a reduction in new-onset myocardial infarctions. 10 In the setting of non-ST segment elevation myocardial infarction (NSTEMI), an Israeli multicenter analysis on more than 5,000 patients, of which 15% were operated, demonstrated 447 risk-adjusted patient pairs that CABG provided a survival advantage associated with a reduction in new-onset myocardial infarctions.…”

Section: Cabg Versus Pcimentioning

confidence: 99%

Cardiac Surgery 2019 Reviewed

Doenst

Bargenda

Kirov

et al. 2020

Thorac Cardiovasc Surg

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For the year 2019, almost 25,000 published references can be found in PubMed when entering the search term “cardiac surgery.” We used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses approach for article selection and reviewed the main fields of adult cardiac surgery (i.e., coronary, valve, aortic, and heart failure surgery). The past decade has experienced an enormous development of interventional techniques that compete more and more with classic surgery. This contest was broadly visible in 2019. It peaked over the interpretation of the EXCEL trial data, where percutaneous coronary intervention and coronary artery bypass grafting (CABG) for left main disease were compared. A novel pathomechanism for CABG was proposed, potentially answering open questions in the field. In aortic valve surgery, two low-risk trials comparing transcatheter aortic valve implantation (TAVI) to classic aortic valve replacement (surgical aortic valve replacement) received attention for showing equal or superior short-term outcomes for TAVI. Longer follow-up information from recent trials became available presenting results emphasizing the need for joint decision making. While publications addressing surgery on the aorta and the mitral and tricuspid valves were less abundant, there was substantial activity regarding left ventricular assist device support and heart transplantation. This article attempts to summarize the most pertinent publications. It does not expect to be complete and cannot be free of individual interpretation. We aimed to provide a condensed summary of 2019s publications with a stimulus for in-depth reading and a basis supporting patient information.

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Section: Cabg Versus Pcimentioning

confidence: 99%