CABG vs PCI: Outcomes With Multiple Arterial Bypass Grafting
CABG vs PCI: Outcomes With Multiple Arterial Bypass Grafting
The collective findings in our study, if confirmed in other series, have the potential to drastically modify the PCI versus CABG debate. Multiarterial surgical revascularization—shown previously to be superior to SA-CABG—resulted in substantially enhanced death and reintervention-free survival compared with survival rates for either BMS- or DES-PCI. Accordingly, MA-CABG represents the optimal therapy for multivessel CAD and should be enthusiastically adopted by practicing cardiac surgeons and members of the multidisciplinary heart team as they strive to implement best evidence-based therapy.
Conclusions
The collective findings in our study, if confirmed in other series, have the potential to drastically modify the PCI versus CABG debate. Multiarterial surgical revascularization—shown previously to be superior to SA-CABG—resulted in substantially enhanced death and reintervention-free survival compared with survival rates for either BMS- or DES-PCI. Accordingly, MA-CABG represents the optimal therapy for multivessel CAD and should be enthusiastically adopted by practicing cardiac surgeons and members of the multidisciplinary heart team as they strive to implement best evidence-based therapy.
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