Tag: coronary artery bypass graft


PCI vs CABG in Patients with Unprotected Left Main Coronary Artery Disease

Key Takeaways

  • This meta-analysis evaluated 6 randomized controlled trials to determine outcome differences between percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG) among patients with unprotected left main coronary artery disease ([ULMCAD] n = 4686).
  • Compared with CABG, PCI correlated with significantly lower rates of 30-day stroke (P = 0.007), death or MI (P = 0.04), or all-cause death, MI, or stroke (P = 0.01).
  • In the PCI group, there was a significantly lower rate of 30-day stroke incidence (P = 0.007) and all-cause death, MI, or stroke (P = 0.01).
  • The authors found no significant difference in outcomes at long-term follow-up (median 39 months) between the two groups.
Reference: Palmerini T et al. Am Heart J. 2017;190:54-63.
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Complex Chronic Total Occlusion

Complex CTO Case with Dr. John Troy Owens Dr. John Troy Owens of Virginia Commonwealth University (VCU) presents a case of a 62-year-old male with history of extensive coronary artery disease and prior CABG (LIMA-LAD, SVG-OM, SVG-PDA), severely reduced left ventricular function with history of apical aneurysm and resolved LV thrombus. Additionally, the patient had … Continue reading “Complex Chronic Total Occlusion”