A comparison of the recovery of health status after percutaneous coronary intervention and coronary artery bypass

Borkon, A. Michael; Muehlebach, Gregory; House, John A.; Marso, Steven P.; Spertus, John A.

doi:10.1016/s0003-4975(02)04063-8

Cited by 68 publications

(46 citation statements)

References 7 publications

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“…We found that successful percutaneous recanalization of a CTO was associated with substantial improvement in patients' angina frequency, physical limitation and quality of life early after the procedure. In fact, the magnitude of these benefits is similar to the improvements in SAQ scores found after revascularization with CABG 21 or PCI of non-CTO lesions. 22,23 Further, we found that these benefits were greatest in those patients with preprocedural angina.…”

Section: Discussionsupporting

confidence: 65%

Quantifying the Early Health Status Benefits of Successful Chronic Total Occlusion Recanalization

Grantham

Jones

Cannon

et al. 2010

Circ: Cardiovascular Quality and Outcomes

204

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Background-Data on the health status benefits of percutaneous coronary intervention for coronary chronic total occlusions (CTOs), a principal indication for the procedure, are lacking. Methods and Results-In the FlowCardia Approach to CTO Recanalization (FACTOR) trial, patients (nϭ125) completed the Seattle Angina Questionnaire (SAQ) at baseline and 1 month after percutaneous coronary intervenion. One-month health status outcomes were compared by multivariable analysis, adjusting for group differences between those whose CTO was successfully and unsuccessfully recanalized. These changes were also analyzed according to baseline symptoms. Procedural success was 55% (nϭ64) and independently associated with angina relief (difference between those with successful and unsuccessful percutaneous coronary intervention [⌬] in SAQ angina frequencyϭ9.5 points; 95% confidence interval,

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Section: Discussionsupporting

confidence: 65%

Quantifying the Early Health Status Benefits of Successful Chronic Total Occlusion Recanalization

Grantham

Jones

Cannon

et al. 2010

Circ: Cardiovascular Quality and Outcomes

204

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“…One previous nonrandomized comparison of health status comparing PCI to CABG used the SAQ and showed results similar to those of the present study. 23 …”

Section: Comparison With Previous Studiesmentioning

confidence: 99%

Disease-Specific Health Status After Stent-Assisted Percutaneous Coronary Intervention and Coronary Artery Bypass Surgery

et al. 2003

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Background-Functional status and quality of life are important outcomes in the evaluation of revascularization approaches for symptomatic coronary artery disease. Few data are available regarding the comparative improvement in disease-specific health status after CABG versus percutaneous coronary intervention (PCI) in the era of coronary stenting. Methods and Results-Cardiac-specific health status was evaluated at baseline and at 6 and 12 months after intervention with the Seattle Angina Questionnaire (SAQ) in patients randomized to stent-assisted PCI (nϭ488) versus CABG (nϭ500) in the Stent or Surgery trial. Scores for physical limitation, angina frequency, and quality of life improved significantly for both treatment groups at 6 months (range of improvement from 13.6 to 34.7 points) and 12 months (14.3 to 38.2 points; all PϽ0.001). CABG patients had greater improvement than those assigned to PCI, although the magnitude of the difference decreased over time (difference at 6 months, 4.03 to 6.48 points; 12 months, 2.05 to 2.93 points). A component of this reduction is accounted for by PCI-arm patients who required repeat intervention. Differences between treatment groups were greatest for the 6-month angina frequency scores (differenceϭ6.48 points; 95% CI 3.96 to 8.99). Overall, treatment satisfaction was high and did not differ significantly between groups. Conclusions-Both CABG and stent-assisted PCI dramatically improved cardiac-related health status in patients with multivessel disease at 6-and 12-month follow-up. During the first postprocedure year, patients' angina burden and physical limitations were alleviated to a greater extent with CABG. (Circulation. 2003;108:1694-1700.)

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“…9 Similarly, an observational registry identified that patients who underwent surgical revascularization had better symptom control and quality of life and that most of this difference was attributable to PCI patients who required a repeat procedure. 10 If the health status (ie, angina and quality of life) benefits of CABG surgery are most evident in those PCI patients who develop clinical restenosis, then it is reasonable to consider preferential referral of patients at high risk of restenosis to CABG surgery. Currently, however, no data demonstrate that preprocedural risk for restenosis is associated with differences in outcomes between CABG surgery and PCI.…”

mentioning

confidence: 99%

Risk of Restenosis and Health Status Outcomes for Patients Undergoing Percutaneous Coronary Intervention Versus Coronary Artery Bypass Graft Surgery

et al. 2005

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A comparison of the recovery of health status after percutaneous coronary intervention and coronary artery bypass

Cited by 68 publications

References 7 publications

Quantifying the Early Health Status Benefits of Successful Chronic Total Occlusion Recanalization

Quantifying the Early Health Status Benefits of Successful Chronic Total Occlusion Recanalization

Disease-Specific Health Status After Stent-Assisted Percutaneous Coronary Intervention and Coronary Artery Bypass Surgery

Risk of Restenosis and Health Status Outcomes for Patients Undergoing Percutaneous Coronary Intervention Versus Coronary Artery Bypass Graft Surgery

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