| Surgical versus interventional procedures in patients with multivessel coronary artery disease. | |
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MedLine Citation:
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PMID: 10909704 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: This study examined the clinical characteristics, risk factors, indications and post-intervention complications of patients with multivessel coronary artery disease (CAD) submitted to either percutaneous transluminal coronary angioplasty (PTCA) and/or stent placement versus isolated coronary artery bypass grafting (CABG). BACKGROUND: Several studies have examined the relative safety and outcome of patients submitted to those interventional procedures compared to CABG. Limited information is available regarding that subject in Puerto Rico. METHODS: We performed a retrospective analysis of the clinical, angiographic, operative, interventional, post-operative and post-interventional data of patients submitted to those procedures in our institution from January 1998 to August 1998. There were 53 patients in the interventional group and 206 patients in the CAGB group. Comparison of quantitative variables by procedure was based on Student t test or Mann-Whitney-Wilcoxon test; categorical variables were compared using Pearson's chi-square or Fisher's exact test. RESULTS: There were no significant differences in age, body surface area, or cardiac risk factors. The most common pre-existing cardiovascular diagnosis was unstable angina. Three-vessel disease was the most common angiographic finding among CABG patients (61.7%). Two-vessel disease without left anterior descending coronary artery obstruction was significantly more common in the PTCA/Stent patients (58.5%). The vast majority (97.6%) of patients in the PTCA/Stent group and 52.4% of the CABG group had two-vessel intervention. A significantly higher frequency of complications occurred in the CABG group. However, the incidence of major complications, in both groups was not statistically different. Atrial arrhythmias were significantly more frequent in the CABG group. CONCLUSION: A larger prospective study should be conducted in order to corroborate these preliminary findings and seek effective solution to any identifiable problem. |
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Authors:
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P Redondo; C M Pérez; R A Cox; C E Rivera |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Puerto Rico health sciences journal Volume: 19 ISSN: 0738-0658 ISO Abbreviation: P R Health Sci J Publication Date: 2000 Jun |
Date Detail:
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Created Date: 2000-09-20 Completed Date: 2000-09-20 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8303541 Medline TA: P R Health Sci J Country: PUERTO RICO |
Other Details:
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Languages: eng Pagination: 99-105 Citation Subset: IM |
Affiliation:
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Department of Medicine, University of Puerto Rico School of Medicine, San Juan 00936-5067. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Angioplasty, Transluminal, Percutaneous Coronary*
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adverse effects Coronary Artery Bypass* / adverse effects Coronary Disease / therapy* Female Humans Male Middle Aged Retrospective Studies Risk Factors Stents* / adverse effects |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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