Tag: Circulation: Cardiovascular Interventions


Safety and Efficacy of PCI with DES vs CABG for Unprotected Left Main Coronary Artery Stenosis

Key Takeaways

  • There are conflicting data regarding the benefit of percutaneous coronary intervention (PCI) with drug-eluting stents (DES) vs coronary artery bypass grafting (CABG) in patients with significant unprotected left main coronary artery (ULMCA) stenosis.
  • According to this meta-analysis, CABG provided a greater efficacy profile than PCI with DES, yet there was no significant difference between CABG and PCI in terms of the primary safety endpoint.
Patients with significant unprotected left main coronary artery (ULMCA) stenosis typically undergo some type of revascularization, yet there is continuous debate as to the most appropriate, safe, and effective strategy for this patient population. The use of drug-eluting stents (DES) following percutaneous coronary intervention (PCI) has resulted in lower rates of repeat revascularization among patients with ULMCA stenosis, suggesting that PCI with DES may be the most optimal revascularization strategy. Nevertheless, there are few studies comparing PCI and DES with coronary artery bypass grafting (CABG) in regard to effectiveness and safety in ULMCA stenosis patients. Continue readingSafety and Efficacy of PCI with DES vs CABG for Unprotected Left Main Coronary Artery Stenosis

CABG SYNTAX for Predicting Post-PCI Events in CAD Patients with Previous CABG

Key Takeaways The coronary artery bypass (CABG) SYNTAX score (CSS) was studied to determine its prognostic significance in patients who have previously received CABG and who were undergoing PCI as a secondary revascularization strategy. The SYNTAX score is an objective scoring system commonly used to identify the optimal revascularization strategy for patients with coronary artery … Continue reading “CABG SYNTAX for Predicting Post-PCI Events in CAD Patients with Previous CABG”