Readmission Rate After Coronary Artery Bypass Grafting Versus Percutaneous Coronary Intervention for Unprotected Left Main Coronary Artery Narrowing

Many studies have reported comparable risk of hard end points between percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG) for unprotected left main coronary artery (ULMCA) stenosis. However, there are limited data regarding the morbidity associated with ULMCA revascul...

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Veröffentlicht in:	The American journal of cardiology 2014-05, Vol.113 (10), p.1639-1646
Hauptverfasser:	Roh, Jae-Hyung, MD, Kim, Young-Hak, MD, PhD, Ahn, Jung-Min, MD, PhD, Yun, Sung-Han, MD, Lee, Jong-Bok, PhD, Ge, Junhua, MD, Le, Wang, MD, Park, Gyung-Min, MD, Lee, Jong-Young, MD, PhD, Park, Duk-Woo, MD, PhD, Kang, Soo-Jin, MD, PhD, Lee, Seung-Whan, MD, PhD, Lee, Cheol Whan, MD, PhD, Park, Seong-Wook, MD, PhD, Park, Seung-Jung, MD, PhD
Format:	Artikel
Sprache:	eng
Schlagworte:	Angina pectoris Cardiology Cardiovascular Coronary Angiography Coronary Artery Bypass - methods Coronary Stenosis - diagnostic imaging Coronary Stenosis - surgery Coronary vessels Drug-Eluting Stents Female Follow-Up Studies Heart attacks Humans Incidence Kaplan-Meier Estimate Male Middle Aged Patient Readmission - statistics & numerical data Percutaneous Coronary Intervention - methods Registries Republic of Korea - epidemiology Risk Assessment - methods Risk Factors Sirolimus - pharmacology Time Factors Treatment Outcome
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Zusammenfassung:	Many studies have reported comparable risk of hard end points between percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG) for unprotected left main coronary artery (ULMCA) stenosis. However, there are limited data regarding the morbidity associated with ULMCA revascularization. This study sought to compare the cause and risk of readmissions after PCI and CABG for ULMCA stenosis. We evaluated the unadjusted and adjusted risk of readmissions in 1,352 patients (783 PCI treated and 569 CABG treated) who were consecutively enrolled in a multicenter registry of patients with ULMCA stenosis, named the Premier of Randomized Comparison of Bypass Surgery versus Angioplasty Using Sirolimus-Eluting Stent in Patients with Left Main Coronary Artery Disease trial. Overall, 206 PCI-treated patients (26.3%) experienced at least 1 readmission after the index procedure during 48.7 ± 16.0 months of follow-up compared with 84 CABG-treated patients (14.8%, p
ISSN:	0002-9149 1879-1913
DOI:	10.1016/j.amjcard.2014.02.013