SwePub
Sök i LIBRIS databas

  Utökad sökning

WFRF:(Feldman Ted)
 

Sökning: WFRF:(Feldman Ted) > Comparison of coron...

  • Kappetein, Arie Pieter (författare)

Comparison of coronary bypass surgery with drug-eluting stenting for the treatment of left main and/or three-vessel disease : 3-year follow-up of the SYNTAX trial

  • Artikel/kapitelEngelska2011

Förlag, utgivningsår, omfång ...

  • 2011-06-22
  • Oxford University Press (OUP),2011
  • printrdacarrier

Nummerbeteckningar

  • LIBRIS-ID:oai:DiVA.org:uu-158876
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-158876URI
  • https://doi.org/10.1093/eurheartj/ehr213DOI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

Anmärkningar

  • Aims: Long-term randomized comparisons of percutaneous coronary intervention (PCI) to coronary artery bypass grafting (CABG) in left main coronary (LM) disease and/or three-vessel disease (3VD) patients have been limited. This analysis compares 3-year outcomes in LM and/or 3VD patients treated with CABG or PCI with TAXUS Express stents. Methods and results: SYNTAX is an 85-centre randomized clinical trial (n = 1800). Prospectively screened, consecutive LM and/or 3VD patients were randomized if amenable to equivalent revascularization using either technique; if not, they were entered into a registry. Patients in the randomized cohort will continue to be followed for 5 years. At 3 years, major adverse cardiac and cerebrovascular events [MACCE: death, stroke, myocardial infarction (MI), and repeat revascularization; CABG 20.2% vs. PCI 28.0%, P < 0.001], repeat revascularization (10.7 vs. 19.7%, P < 0.001), and MI (3.6 vs. 7.1%, P = 0.002) were elevated in the PCI arm. Rates of the composite safety endpoint (death/stroke/MI 12.0 vs. 14.1%, P = 0.21) and stroke alone (3.4 vs. 2.0%, P = 0.07) were not significantly different between treatment groups. Major adverse cardiac and cerebrovascular event rates were not significantly different between arms in the LM subgroup (22.3 vs. 26.8%, P = 0.20) but were higher with PCI in the 3VD subgroup (18.8 vs. 28.8%, P < 0.001). Conclusions: At 3 years, MACCE was significantly higher in PCI-compared with CABG-treated patients. In patients with less complex disease (low SYNTAX scores for 3VD or low/intermediate terciles for LM patients), PCI is an acceptable revascularization, although longer follow-up is needed to evaluate these two revascularization strategies.

Ämnesord och genrebeteckningar

  • SYNTAX
  • Left main
  • Multivessel disease
  • PCI
  • CABG
  • Stent thrombosis

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Feldman, Ted E. (författare)
  • Mack, Michael J. (författare)
  • Morice, Marie-Claude (författare)
  • Holmes, David R. (författare)
  • Ståhle, ElisabethUppsala universitet,Institutionen för kirurgiska vetenskaper(Swepub:uu)elsta102 (författare)
  • Dawkins, Keith D. (författare)
  • Mohr, Friedrich W. (författare)
  • Serruys, Patrick W. (författare)
  • Colombo, Antonio (författare)
  • Uppsala universitetInstitutionen för kirurgiska vetenskaper (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:European Heart Journal: Oxford University Press (OUP)32:17, s. 2125-21340195-668X1522-9645

Internetlänk

Hitta via bibliotek

Till lärosätets databas

Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.

 
pil uppåt Stäng

Kopiera och spara länken för att återkomma till aktuell vy