eISSN: 1897-4252
ISSN: 1731-5530
Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery
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2/2009
vol. 6
 
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abstract:

DZIELIMY SIĘ DOŚWIADCZENIEM
Coronary artery bypass grafting operation is an optimal therapy in patients with high stage multi-vessel coronary artery heart disease

Marcin Dominiak
,
Jarosław Drożdż

Kardiochirurgia i Torakochirurgia Polska 2009; 6 (2): 181–186
Online publish date: 2009/06/30
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Coronary artery disease is the leading cause of death in Europe. Various studies in recent years have compared percutaneous coronary intervention (PCI) with bare-metal stents with coronary artery bypass grafting (CABG) in subjects with multi-vessel disease. Previous data revealed comparable survival rates but a higher revascularization rate in patients treated with PCI. The primary analysis was a non-inferiority comparison of surgical and percutaneous techniques with drug-eluting stents in patients with three-vessel coronary artery disease. Data from the SYNTAX trial indicate that CABG, as compared with PCI, resulted in a decreased rate of repeat revascularization and major adverse cardiac or cerebrovascular events but higher risk of stroke during 1-month follow-up. Thus, according to evidence-based medicine, coronary artery bypass-grafting remains the standard of care for such patients.
keywords:

multi-vessel coronary artery disease, PCI, CABG
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