Document Detail

Revascularization for coronary artery disease: stents versus bypass surgery.
MedLine Citation:
PMID:  19824825     Owner:  NLM     Status:  MEDLINE    
Coronary artery disease (CAD) is one manifestation of ischemic heart disease, which is the leading cause of mortality in the world. In addition to preventive medical therapy and lifestyle changes, consideration of revascularization of obstructed arteries to reduce ischemia, alleviate angina, and improve quality of life is a mainstay of current practice. However, the benefits of different methods of revascularization in particular patient populations are debated. Percutaneous coronary intervention (PCI), which involves placement of intracoronary stents in most patients, is a less invasive procedure than coronary artery bypass graft (CABG) surgery. Although it is generally accepted that patients with single-vessel obstructive CAD are best treated with PCI, patients with multivessel CAD have a higher ischemia burden, a greater risk for developing recurrent ischemic events, and a higher mortality. It is in this patient population where the debate over revascularization with stents versus surgery continues.
Spencer B King; John Jeffrey Marshall; Pradyumna E Tummala
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Publication Detail:
Type:  Comparative Study; Journal Article; Review    
Journal Detail:
Title:  Annual review of medicine     Volume:  61     ISSN:  1545-326X     ISO Abbreviation:  Annu. Rev. Med.     Publication Date:  2010  
Date Detail:
Created Date:  2010-01-11     Completed Date:  2010-05-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  2985151R     Medline TA:  Annu Rev Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  199-213     Citation Subset:  IM    
Saint Joseph's Heart and Vascular Institute, Atlanta, Georgia 30342, USA.
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MeSH Terms
Angioplasty, Transluminal, Percutaneous Coronary*
Coronary Artery Bypass*
Coronary Artery Disease / complications,  mortality,  therapy*
Cost-Benefit Analysis
Risk Assessment

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

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