CABG May Be Better Than PCI for 3-Vessel Dz in Younger Adults

Share this content:
CABG May Be Better Than PCI for 3-Vessel Dz in Younger Adults
CABG May Be Better Than PCI for 3-Vessel Dz in Younger Adults

TUESDAY, Jan. 30, 2018 (HealthDay News) -- For young patients (≤50 years) with three-vessel coronary artery disease, percutaneous coronary intervention (PCI) is associated with increased rates of adverse outcomes compared with coronary artery bypass grafting (CABG), according to a study presented at the annual meeting of The Society of Thoracic Surgeons, held from Jan. 27 to 31 in Fort Lauderdale, Fla.

Wael Awad, M.D., of St. Bartholomew's Hospital in London, and colleagues retrospectively studied 200 young patients (age ≤50 years): 100 undergoing PCI and 100 undergoing CABG between January and December 2004. Data were obtained from patients or their general practitioners in 2009 and 2016 for five- and 12-year follow-up.

The researchers found that, compared with the CABG group, the PCI group had significantly increased rates of myocardial infarction (MI; 9 versus 1 percent), repeat revascularization (31 versus 7 percent), and total major adverse cardiac or cerebrovascular events (MACCE; 44 versus 11) at five years. The results were similar at 12-year follow-up. Patients with one- or two-vessel coronary artery disease had no between-group differences in the rates of death, MI, stroke, repeat revascularization, or MACCE at follow-up. Patients with three-vessel disease undergoing PCI had significantly higher rates of MI, revascularization, and MACCE only.

"PCI is reasonable and as safe as CABG in young patients, but this should be reserved for patients with single or two-vessel disease," Awad said in a statement.

Press Release
More Information

Share this content:

is free, fast, and customized just for you!




Already a member?

Sign In Now »

Trending Activities

All Professions

Drug Lookup

Browse drugs by: BrandGenericDisease

More in Home

Ground Beef Recalled After E. Coli Outbreak

Ground Beef Recalled After <i>E. Coli</i> Outbreak

Beef was produced and packaged at Cargill Meat Solutions in Fort Morgan, Colo.

Prevalence of Alzheimer's, Related Dementia Set to Double

Prevalence of Alzheimer's, Related Dementia Set to Double

Alzheimer's disease and related dementias burden is expected to increase to 3.3 percent in 2060

Long-Term Outcomes of Breast Implants Explored

Long-Term Outcomes of Breast Implants Explored

Higher rates of Sjogren syndrome, scleroderma, RA, stillbirth, melanoma for silicone implants

is free, fast, and customized just for you!




Already a member?

Sign In Now »