Document Detail


Comparison of Results of Coronary Artery Bypass Grafting Versus Percutaneous Coronary Intervention in Octogenarians.
MedLine Citation:
PMID:  22762714     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
The aim of the present study was to compare the outcomes after coronary artery bypass grafting (CABG) and percutaneous coronary intervention (PCI) in patients aged ≥80 years. The present analysis included 274 patients who underwent isolated CABG and 393 patients who underwent PCI. The patients undergoing PCI had a greater prevalence of a history of cardiac surgery and recent myocardial infarction and had more frequently undergone emergency revascularization. Patients undergoing CABG had a significantly greater prevalence of 3-vessel coronary artery disease. The unadjusted 30-day mortality rate was 8.8% after CABG and 7.4% after PCI (p = 0.514). However, on multivariate analysis, CABG was associated with a significantly increased risk of 30-day mortality (odds ratio 2.246, 95% confidence interval 1.141 to 4.422). The unadjusted overall intermediate survival was significantly poorer after PCI (at 5 years, CABG 72.2% vs PCI 59.5%, p = 0.004), but this was not confirmed on multivariate analysis. PCI and CABG had similar intermediate survival rates when adjusted for propensity score (p = 0.698), a finding confirmed by the analysis of 130 propensity score-matched pairs (at 5 years, CABG 66.4% vs PCI 58.9%, p = 0.730). In conclusion, the survival of patients aged ≥80 years undergoing CABG is excellent, and the suboptimal survival after PCI seems to be related to the disproportionately greater risk of these patients compared to those undergoing CABG. When adjusted for important clinical variables, PCI and CABG achieved similar intermediate results.
Authors:
Jarmo Gunn; Kari Kuttila; Francesco Vasques; Raine Virtanen; Anne Lahti; Juhani Airaksinen; Fausto Biancari
Related Documents :
22410124 - Coronary plaque rupture in patients with myocardial infarction after noncardiac surgery...
8237824 - Choice and chance in drug therapy of cardiac arrhythmias: technique versus drug-specifi...
22570814 - Is myocardial infarction in patients without significant stenosis on a coronary angiogr...
22701134 - Clinical impact of non-high density lipoprotein-cholesterol and apolipoprotein b on cli...
24694484 - Impact of pulmonary vein isolation on left bundle branch block following tachycardia-in...
17056324 - Two-dimensional echocardiographic methods for assessment of left atrial volume.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-7-2
Journal Detail:
Title:  The American journal of cardiology     Volume:  -     ISSN:  1879-1913     ISO Abbreviation:  -     Publication Date:  2012 Jul 
Date Detail:
Created Date:  2012-7-5     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0207277     Medline TA:  Am J Cardiol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012 Elsevier Inc. All rights reserved.
Affiliation:
Department of Surgery, Turku University Hospital, Turku, Finland; University of Turku, Turku, Finland.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Relation Between Bone Mineral Density, Bone Loss and the Risk of Cardiovascular Disease in a Chinese...
Next Document:  Clinical Features and Outcomes of Cardiovascular Implantable Electronic Device Infections Due to Sta...