Long-Term Mortality of 306,868 Patients with Multi-Vessel Coronary Artery Disease: CABG versus PCI

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Author
Efird, Jimmy T.; O’Neal, Wesley T.; Davies, Stephen W.; Kennedy, Whitney L.; Alger, Lada N.; O’Neal, Jason B.; Ferguson, T. Bruce; Kypson, Alan P.
Abstract
Background Several randomized controlled trials (RCT) have reported no difference in long-term mortality between coronary artery bypass grafting (CABG) and percutaneous coronary intervention (PCI). The purpose of this pooled observational analysis was to compare recent retrospective studies examining long-term survival of patients with multi-vessel coronary artery disease undergoing CABG and PCI. Methodology We searched Medline for observational studies comparing long-term (>1 year) survival between CABG and PCI for the treatment of multi-vessel coronary artery disease over the past 10 years. Results Eight studies met inclusion criteria. A total of 306,868 patients (155,502 CABG; 151,366 PCI) were identified. Follow-up ranged from 1 to 8 years. Mantel-Haenszel combined hazard ratios (HR) for mortality demonstrated a protective benefit of CABG compared with PCI (HR=0.77, 95%CI=0.75–0.79). Conclusion These findings suggest a long-term survival advantage for CABG compared with PCI in patients with multi-vessel coronary artery disease.
URI
http://hdl.handle.net/10342/5850
Subject
 CABG; PCI; survival; long-term 
Date
2013-08
Citation:
APA:
Efird, Jimmy T., & O’Neal, Wesley T., & Davies, Stephen W., & Kennedy, Whitney L., & Alger, Lada N., & O’Neal, Jason B., & Ferguson, T. Bruce, & Kypson, Alan P.. (August 2013). Long-Term Mortality of 306,868 Patients with Multi-Vessel Coronary Artery Disease: CABG versus PCI. British journal of medicine and medical research, 3(4), 1248- 1257. Retrieved from http://hdl.handle.net/10342/5850

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MLA:
Efird, Jimmy T., and O’Neal, Wesley T., and Davies, Stephen W., and Kennedy, Whitney L., and Alger, Lada N., and O’Neal, Jason B., and Ferguson, T. Bruce, and Kypson, Alan P.. "Long-Term Mortality of 306,868 Patients with Multi-Vessel Coronary Artery Disease: CABG versus PCI". British journal of medicine and medical research. 3:4. (1248-1257), August 2013. August 14, 2018. http://hdl.handle.net/10342/5850.
Chicago:
Efird, Jimmy T. and O’Neal, Wesley T. and Davies, Stephen W. and Kennedy, Whitney L. and Alger, Lada N. and O’Neal, Jason B. and Ferguson, T. Bruce and Kypson, Alan P., "Long-Term Mortality of 306,868 Patients with Multi-Vessel Coronary Artery Disease: CABG versus PCI," British journal of medicine and medical research 3, no. 4 (August 2013), http://hdl.handle.net/10342/5850 (accessed August 14, 2018).
AMA:
Efird, Jimmy T., O’Neal, Wesley T., Davies, Stephen W., Kennedy, Whitney L., Alger, Lada N., O’Neal, Jason B., Ferguson, T. Bruce, Kypson, Alan P.. Long-Term Mortality of 306,868 Patients with Multi-Vessel Coronary Artery Disease: CABG versus PCI. British journal of medicine and medical research. August 2013; 3(4): 1248-1257. http://hdl.handle.net/10342/5850. Accessed August 14, 2018.
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