Document Detail

Percutaneous coronary intervention versus coronary artery bypass surgery in multivessel disease: a current perspective.
MedLine Citation:
PMID:  19307243     Owner:  NLM     Status:  MEDLINE    
Coronary artery bypass surgery (CABG) and percutaneous coronary intervention (PCI) are both safe and established treatment modalities of invasive revascularization for patients with coronary artery disease (CAD). However, conflicting information exists when comparing the long-term efficacy of the two methods. The optimal treatment for patients with multivessel coronary artery disease (MVD) is still subject to discussion, given the lack of fairly designed, prospective, randomized data reflecting current practice in the modern era. Furthermore, the clinical outcomes after invasive revascularization differ according to the number of diseased vessels, presence or absence of diabetes, left main disease and left ventricular dysfunction. Hence, the question arises whether we should continue to use the term 'multivessel disease'. Conflicts of available data need to be addressed and overcome so that care of patients with CAD can be successfully tailored. In this review article we try to address some of the above conflicts, in an effort to improve our understanding in the care of patients with multivessel disease. We also provide an evidence-based perspective which may differ from the current standard of practice.
Ozlem Soran; Aarush Manchanda; Stephan Schueler
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Publication Detail:
Type:  Journal Article; Review     Date:  2009-03-23
Journal Detail:
Title:  Interactive cardiovascular and thoracic surgery     Volume:  8     ISSN:  1569-9285     ISO Abbreviation:  Interact Cardiovasc Thorac Surg     Publication Date:  2009 Jun 
Date Detail:
Created Date:  2009-05-15     Completed Date:  2009-07-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101158399     Medline TA:  Interact Cardiovasc Thorac Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  666-71     Citation Subset:  IM    
Cardiovascular Institute, University of Pittsburgh Medical Center, Presbyterian Hospital, Pittsburgh, PA 15213, USA.
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MeSH Terms
Angioplasty, Transluminal, Percutaneous Coronary* / adverse effects,  economics,  instrumentation
Coronary Artery Bypass* / adverse effects,  economics
Coronary Artery Disease / economics,  pathology,  surgery,  therapy*
Cost-Benefit Analysis
Evidence-Based Medicine
Patient Selection
Practice Guidelines as Topic
Risk Assessment
Severity of Illness Index
Time Factors
Treatment Outcome
Comment In:
Interact Cardiovasc Thorac Surg. 2009 Jun;8(6):672   [PMID:  19443497 ]

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

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