Current trends in coronary revascularization.

Current Treatment Options in Cardiovascular Medicine
Shannon M DunlayVéronique L Roger

Abstract

The options for coronary revascularization broadened in recent years with the introduction of bare-metal stents in the 1990s and drug-eluting stents in 2003. Since then, the rates of percutaneous coronary intervention (PCI) have increased whereas the use of coronary artery bypass grafting (CABG) has decreased. Although historically there have been disparities in the use of revascularization procedures in women, the elderly, and nonwhite patients, there is some evidence to suggest these gaps have narrowed in recent years. In any given clinical circumstance, there is ongoing debate as to whether PCI or CABG is the more appropriate revascularization method depending on coronary anatomy, ventricular function, and associated conditions. Also, trends in coronary revascularization are potentially influenced by emerging clinical evidence and new technologies, national guidelines and appropriateness criteria, procedure reimbursement, and changes in the population being treated. Accordingly, it is unclear whether the trend in increased use of PCI versus CABG will continue.

References

Jul 25, 1991·The New England Journal of Medicine·J Z Ayanian, A M Epstein
Jan 2, 1986·The New England Journal of Medicine·F D LoopW C Sheldon
Jan 25, 1996·The New England Journal of Medicine·A CameronH V Schaff
Jun 1, 1997·Journal of the American College of Cardiology·R F GillumC K Francis
Apr 30, 1999·The Journal of Thoracic and Cardiovascular Surgery·B W LytleD M Cosgrove
Mar 15, 2000·Journal of the American College of Cardiology·K P AlexanderE D Peterson
Nov 28, 2000·The Annals of Thoracic Surgery·T YokoyamaR J Declusin
Aug 31, 2001·Journal of the American College of Cardiology·S OkeloE Lesnefsky
Dec 31, 2002·Journal of the American College of Cardiology·David J MalenkaUNKNOWN Northern New England Cardiovascular Disease Study Group
Jun 26, 2003·Journal of General Internal Medicine·Leslie R HarroldRobert J Goldberg
Feb 5, 2004·The Annals of Thoracic Surgery·William F NorthrupDavid P Blake
May 27, 2005·The New England Journal of Medicine·Edward L HannanEric A Rose
Jun 16, 2005·JAMA : the Journal of the American Medical Association·Shamir R MehtaSalim Yusuf
Aug 19, 2005·The New England Journal of Medicine·Ashish K JhaArnold M Epstein
Sep 15, 2005·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Barbara Sibbald
Aug 23, 2006·American Heart Journal·Yariv GerberVéronique L Roger
Nov 10, 2006·The New England Journal of Medicine·Miriam Shuchman
Feb 14, 2007·The New England Journal of Medicine·Christian SpauldingPatrick W Serruys
Feb 28, 2007·Vascular Health and Risk Management·Anna Louise HawkesRichard Speare
May 30, 2007·Archives of Internal Medicine·Andrew T YanUNKNOWN Canadian Acute Coronary Syndromes 1 and 2 Registry Investigators
Jun 8, 2007·The New England Journal of Medicine·Earl S FordSimon Capewell
Jul 31, 2007·Public Health·D P WeerasingheF Yusuf
Sep 25, 2007·Journal of the American College of Cardiology·Yariv GerberVéronique L Roger
Nov 27, 2007·The American Journal of Cardiology·Judith H LichtmanHarlan M Krumholz
Jan 25, 2008·The New England Journal of Medicine·Edward L HannanRobert H Jones
Feb 19, 2008·Journal of the American College of Cardiology·Dennis T KoHarlan M Krumholz
May 24, 2008·Journal of the American College of Cardiology·Peter W GroeneveldFeifei Yang
Jun 14, 2008·Journal of the American College of Cardiology·Mandeep SinghDavid R Holmes

❮ Previous
Next ❯

Citations

Sep 19, 2012·International Journal of Cardiology·Roberto FerrariUNKNOWN CLARIFY Investigators
Aug 16, 2016·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Karl E MingesJeptha P Curtis
May 22, 2020·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Johan van der MerweFrank Van Praet

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.