Coronary artery bypass graft surgery and percutaneous transluminal coronary angioplasty. Twenty-year clinical outcome

European Heart Journal
R T van DomburgP W Serruys

Abstract

The purpose of this study is to compare the long-term outcome (up to 20 years) of coronary artery bypass surgery (CABG) with percutaneous transluminal coronary angioplasty (PTCA) in a consecutive patient series at a single centre. Survival is similar after CABG and PTCA up to 8 years follow-up in patients with multivessel disease, with a reduced need for repeat revascularization after CABG. As coronary artery disease is a lifetime disease, longer-term follow-up of these revascularization therapies is necessary to help clinical decision-making. The CABG study population consisted of the first 1041 consecutive patients who underwent a first elective coronary bypass surgery between 1970 and 1980. The PTCA study population consisted of 702 consecutive patients who underwent a first elective coronary angioplasty procedure between 1980 and 1985. Mortality and subsequent revascularization up to 20 years were captured. Survival rates were adjusted using proportional hazards methods to account for baseline differences. The unadjusted survival rates were 92%, 77%, 57% and 49% after CABG at respectively, 5-, 10-, 15- and 17 years and 91%, 80%, 64% and 59% after PTCA. In the multivessel disease subgroup, survival was similar with a benefit...Continue Reading

Citations

Nov 7, 2006·The International Journal of Cardiovascular Imaging·R DikkersM Oudkerk
Mar 27, 2007·International Journal of Cardiology·M KetonenUNKNOWN FINMONICA/FINAMI Study Group
Jan 15, 2014·Expert Review of Cardiovascular Therapy·Raj Parikh, Philip J Kadowitz
Jun 8, 2010·Scandinavian Cardiovascular Journal : SCJ·Tor MelbergJan Erik Nordrehaug
Jul 5, 2011·The American Journal of Medicine·Michelle C OddenKirsten Bibbins-Domingo
Aug 4, 2005·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·D J Wheatley
Dec 20, 2008·American Journal of Preventive Medicine·James M LightwoodLee Goldman
Feb 24, 2006·Journal of Cardiac Surgery·Rohit AroraHarold L Lazar
Nov 26, 2010·American Heart Journal·Ansar HassanJack V Tu
Feb 15, 2005·International Journal of Cardiology·Pedro A LemosGunnar Berghoefer
Jul 11, 2006·International Journal of Cardiology·Henry VölzkeRainer Rettig
Feb 13, 2007·Journal of the American College of Cardiology·Colin BerryMartial G Bourassa
Sep 21, 2010·The Journal of Pediatrics·Y Claire WangMatthew W Gillman
Jan 1, 2015·Heart Asia·Amit Malviya, Animesh Mishra

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cardiology Journals

Discover the latest cardiology research in this collection of the top cardiology journals.

Related Papers

Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions
Hiroyuki KamiyaGo Watanabe
Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery
Saba DavitHayati Ozkan
Nature Clinical Practice. Cardiovascular Medicine
Allan S Jaffe
Asian Cardiovascular & Thoracic Annals
Jan StygallStanton P Newman
© 2022 Meta ULC. All rights reserved