Document Detail


A review of randomized trials comparing coronary angioplasty and bypass grafting.
MedLine Citation:
PMID:  8968672     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Angioplasty and bypass surgery have become standard methods of treating patients with symptomatic coronary atherosclerosis. Although both procedures have been applied to a wide spectrum of patients with acceptable morbidity and mortality, only recently have randomized trials been performed to directly compare their efficacies. In patients with multivessel disease, overall mortality and freedom from myocardial infarction appear to be similar between the two treatment strategies. Primarily due to restenosis, the need for repeat revascularization procedures is significantly greater in patients who initially undergo angioplasty. Accordingly, this difference is most striking in the 1st year of follow-up and diminishes over time. The costs of the two treatment strategies reflect the restenosis problem as well. Although angioplasty initially costs less than bypass surgery, the cost savings largely abate after repeat interventions are performed.
Authors:
W D Anderson; S B King
Publication Detail:
Type:  Comparative Study; Journal Article; Review    
Journal Detail:
Title:  Current opinion in cardiology     Volume:  11     ISSN:  0268-4705     ISO Abbreviation:  Curr. Opin. Cardiol.     Publication Date:  1996 Nov 
Date Detail:
Created Date:  1997-03-10     Completed Date:  1997-03-10     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8608087     Medline TA:  Curr Opin Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  583-90     Citation Subset:  IM    
Affiliation:
Emory University, Department of Interventional Cardiology, Atlanta, GA 30322, USA.
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MeSH Terms
Descriptor/Qualifier:
Angioplasty, Transluminal, Percutaneous Coronary* / economics
Coronary Artery Bypass* / economics
Coronary Artery Disease / therapy*
Costs and Cost Analysis
Humans
Meta-Analysis as Topic
Prospective Studies
Randomized Controlled Trials as Topic
Recurrence

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


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