Revascularization in severe left ventricular dysfunction: Outcome comparison of drug‐eluting stent implantation versus coronary artery by‐pass grafting

Abstract

In selected high risk patients with severe LV dysfunction revascularization with DES implantation offers comparable long term mortality and MACCE rate to CABG patients.

Survival Benefits of Invasive Versus Conservative Strategies in Heart Failure in Patients With Reduced Ejection Fraction and Coronary Artery Disease

“…In a subanalysis of secondary end points, we found significantly reduced risk for MI and RR in patients treated with CABG versus PCI. 20,[22][23][24][25]30,33,35 ; (B) repeat revascularization 20,22,23,25,28,33,35 ; and (C) stroke. 20 46 and subsequent metaanalyses 47 have suggested that intermediate-term mortality after interventional revascularization using modern stent systems is comparable to CABG, with a reduced risk of stroke but a higher need for RR.…”

“…20,22,23,25,28,30,33,35 There was a statistically significant reduction in RR with CABG compared with PCI treatment; the respective rates were 5. …”

“…Seven studies involving 2695 patients reported a prevalence of 3-vessel disease >50% in both groups ( Figure 4B). 18,[21][22][23]28,33 The overall incidence of all-cause mortality did not differ significantly between the 2 revascularization strategies: 27.85% (379 of 1361) among patients undergoing CABG and 30.51% (407 of 1334) among patients …”

“…10,15,16,[18][19][20][21][22][23][24]26,[29][30][31][32][33][34][35] For the remaining 5 articles, data were abstracted from the study summaries. 8,17,25,27,28 Patient baseline characteristics are shown in Table 2.…”

Hybrid cardiac procedure: the ultimate cooperation

“…3 Nowadays, with the modern tools and the experience of the surgeons in performing off-pump revascularisation, it is possible to reach all territories of the heart, even with arterial grafts. [4][5][6] In our daily practice we are doing less hybrid coronary interventions and more and more complete total arterial off-pump CABG operations for three-vessel disease. Numbers of distal anastomoses vary from three to six, even in patients with impaired left ventricular function.…”