Safety and efficacy of percutaneous coronary intervention versus coronary artery bypass graft in patients with STEMI and unprotected left main stem disease: A systematic review &amp; meta-analysis

Almas, Talal; Afzal, Ahson; Fatima, Hameeda; Yaqoob, Sadia; Jarullah, Furqan Ahmad; Abbasi, Zaeem Ahmed; Farooqui, Anoosh; Jaffar, Duaa; Batool, Atiya; Ahmed, Shayan; Azmat, Neha  Sara; Afzal, Fatima; Khan, Sarah; Fatima, Kaneez

doi:10.1016/j.ijcha.2022.101041

Cited by 1 publication

(2 citation statements)

References 97 publications

(26 reference statements)

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“…Patients with ULMCAD who participated in studies and metaanalyses over the last decade showed comparable long-term results regardless of revascularization approach, while those who had PCI were more likely to have their target vessels revascularized [9][10][11][12]. Our study's findings provide credence to the idea that PCI and CABG provide equivalent benefits for patients with ULMCAD in a community setting, independent of whether or not they have three-vessel disease and/or extremely convoluted coronary anatomy.…”

Section: Discussionsupporting

confidence: 55%

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Outcomes of Left Main Coronary Artery Revascularization after Percutaneous Coronary Intervention or Coronary Artery Bypass Grafting Surgery

Amin¹,

Khan²,

Shah³

et al. 2022

PJMHS

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Background: Our study's major goal is to examine how several existing ULMCAD Currently, percutaneous coronary intervention (PCI) and coronary artery bypass grafting are the most common non-invasive methods of treating (unprotected left predominant) CAD in the United States (CABG). Place of study and duration: Conducted at the department of Cardiology, Hayatabad Medical Complex, Peshawar for the Duration from July 1 -2016 to Jun 30 -2017. Methods and Results: The effects of PCI and CABG have been analyzed in 558 patients with ULMCAD in a row (suggest age 71.9 years, eighty-one percent male). The most important end results were a total prevalence of mortality, nonfatal MI, and stroke. Diabetes prevalence increased to 29 percent, whereas acute coronary syndrome increased to 56 percent and 11 became the standard Euro SCORE. An extremely complicated form of coronary disease affected 50% of the patients (SYNTAX score >32). Up to four years after PCI and CABG, the primary composite outcomes were equivalent (15, 53, 1 percent vs. 17,126.6 percent; p=0.585). Additionally, the impacts on the top findings were equivalent for the 2 cohorts with similar propensity ratings. Revascularization was required in 5.5 percent of PCI patients and 1.5 percent of CABG patients, respectively, due to ischemia (p=0.010). Conclusions: According to our local network of ULMCAD patients, the long-term scientific outcomes of the present PCI or CABG revascularization procedures were equivalent. No matter the intricacy of the coronary artery.

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Section: Discussionsupporting

confidence: 55%

“…The chosen revascularization strategies were intended to provide the optimal revascularization for each patient. A logistic Euro SCORE was used to evaluate each patient's risk of surgical complications, with a score of indicating a high likelihood of problems [8][9][10]. The most current iteration of DES was used in each PCI scenario.…”

Section: Study Populationmentioning

confidence: 99%