Stents versus Coronary-Artery Bypass Grafting for Left Main Coronary Artery Disease
A cohort of patients who underwent stent implantation for unprotected left main coronary artery disease was compared with a propensity-matched cohort of patients who underwent coronary-artery bypass grafting. The risk of death and the composite outcome of death, Q-wave myocardial infarction, or stro...
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| Veröffentlicht in: | The New England journal of medicine 2008-04, Vol.358 (17), p.1781-1792 |
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| creator | Seung, Ki Bae Park, Seong-Wook Park, Duk-Woo Park, Hun Sik Park, Seung-Jung Kim, Hyo-Soo Kim, Pum Joon Kim, Young-Hak Lee, Seung-Whan Lee, Cheol Whan Hong, Myeong-Ki Yun, Sung-Cheol Gwon, Hyeon-Cheol Jeong, Myung-Ho Jang, Yangsoo Seong, In-Whan Ahn, Taehoon Chae, In-Ho Tahk, Seung-Jea Chung, Wook-Sung |
| description | A cohort of patients who underwent stent implantation for unprotected left main coronary artery disease was compared with a propensity-matched cohort of patients who underwent coronary-artery bypass grafting. The risk of death and the composite outcome of death, Q-wave myocardial infarction, or stroke did not differ significantly between the two groups. The risk of target-vessel revascularization was higher in the group that received stents.
The risk of death and the composite outcome of death, Q-wave myocardial infarction, or stroke did not differ significantly between the two groups. The risk of target-vessel revascularization was higher in the group that received stents.
Significant narrowing of the left main coronary artery puts a patient at high risk, since it can jeopardize the entire myocardium of the left ventricle, and it has the worst prognosis of any form of coronary artery disease.
1
On the basis of clinical trials that show a survival benefit with bypass surgery as compared with medical treatment,
1
–
4
coronary-artery bypass grafting (CABG) has been considered standard therapy for patients with left main coronary artery disease and is recommended by current practice guidelines.
5
,
6
Because of concern about procedural risk and long-term durability, percutaneous coronary intervention (PCI) usually has been restricted . . . |
| doi_str_mv | 10.1056/NEJMoa0801441 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_69130254</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>69130254</sourcerecordid><originalsourceid>FETCH-LOGICAL-c574t-aa3b1561e9affe1e2a6958518532be884d79a87e33f13fec1c7e150789611a9a3</originalsourceid><addsrcrecordid>eNp10c9P2zAUB3BrYloL7LjrFCHBLcwvthP7WEopTGUc2M7Ra3hGqZqk80sm9b_HiKhok_Yuvnz0fnwtxBeQlyBN_u3H4vt9h9JK0Bo-iCkYpVKtZX4kplJmNtWFUxNxzLyRsUC7T2ICVhXWQDEVj489tT0nfyjwwMm8C12LYZ_OQk9hn1ztd8icLAP6vm6fE9-FZEW-T-6xbg86GfV1zYRMp-Kjxy3T5_E9Eb9uFj_nt-nqYXk3n63SyhS6TxHVGkwO5NB7AsowdyZuZY3K1mStfioc2oKU8qA8VVAVBEYW1uUA6FCdiIu3vrvQ_R6I-7KpuaLtFlvqBi5zB0pmRkd49g_cdENo425llikXJ-YyovQNVaFjDuTLXaibeF0JsnyNuvwr6ui_jk2HdUNP73rMNoLzESBXuPUB26rmg8tk5gzE7zq4puGypU3zn4EvH5WQnw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>223918560</pqid></control><display><type>article</type><title>Stents versus Coronary-Artery Bypass Grafting for Left Main Coronary Artery Disease</title><source>MEDLINE</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>New England Journal of Medicine</source><creator>Seung, Ki Bae ; Park, Seong-Wook ; Park, Duk-Woo ; Park, Hun Sik ; Park, Seung-Jung ; Kim, Hyo-Soo ; Kim, Pum Joon ; Kim, Young-Hak ; Lee, Seung-Whan ; Lee, Cheol Whan ; Hong, Myeong-Ki ; Yun, Sung-Cheol ; Gwon, Hyeon-Cheol ; Jeong, Myung-Ho ; Jang, Yangsoo ; Seong, In-Whan ; Ahn, Taehoon ; Chae, In-Ho ; Tahk, Seung-Jea ; Chung, Wook-Sung</creator><creatorcontrib>Seung, Ki Bae ; Park, Seong-Wook ; Park, Duk-Woo ; Park, Hun Sik ; Park, Seung-Jung ; Kim, Hyo-Soo ; Kim, Pum Joon ; Kim, Young-Hak ; Lee, Seung-Whan ; Lee, Cheol Whan ; Hong, Myeong-Ki ; Yun, Sung-Cheol ; Gwon, Hyeon-Cheol ; Jeong, Myung-Ho ; Jang, Yangsoo ; Seong, In-Whan ; Ahn, Taehoon ; Chae, In-Ho ; Tahk, Seung-Jea ; Chung, Wook-Sung</creatorcontrib><description>A cohort of patients who underwent stent implantation for unprotected left main coronary artery disease was compared with a propensity-matched cohort of patients who underwent coronary-artery bypass grafting. The risk of death and the composite outcome of death, Q-wave myocardial infarction, or stroke did not differ significantly between the two groups. The risk of target-vessel revascularization was higher in the group that received stents.
The risk of death and the composite outcome of death, Q-wave myocardial infarction, or stroke did not differ significantly between the two groups. The risk of target-vessel revascularization was higher in the group that received stents.
Significant narrowing of the left main coronary artery puts a patient at high risk, since it can jeopardize the entire myocardium of the left ventricle, and it has the worst prognosis of any form of coronary artery disease.
1
On the basis of clinical trials that show a survival benefit with bypass surgery as compared with medical treatment,
1
–
4
coronary-artery bypass grafting (CABG) has been considered standard therapy for patients with left main coronary artery disease and is recommended by current practice guidelines.
5
,
6
Because of concern about procedural risk and long-term durability, percutaneous coronary intervention (PCI) usually has been restricted . . .</description><identifier>ISSN: 0028-4793</identifier><identifier>EISSN: 1533-4406</identifier><identifier>DOI: 10.1056/NEJMoa0801441</identifier><identifier>PMID: 18378517</identifier><identifier>CODEN: NEJMAG</identifier><language>eng</language><publisher>Boston, MA: Massachusetts Medical Society</publisher><subject>Aged ; Angioplasty, Balloon, Coronary ; Biological and medical sciences ; Cardiology. Vascular system ; Cardiovascular disease ; Cohort Studies ; Coronary Artery Bypass ; Coronary Disease - mortality ; Coronary Disease - surgery ; Coronary Disease - therapy ; Coronary heart disease ; Coronary vessels ; Drug-Eluting Stents ; Female ; Follow-Up Studies ; General aspects ; Heart ; Heart attacks ; Humans ; Kaplan-Meier Estimate ; Male ; Medical sciences ; Middle Aged ; Myocardial Infarction - epidemiology ; Myocardial Revascularization ; Risk Factors ; Stents ; Stroke - epidemiology ; Treatment Outcome</subject><ispartof>The New England journal of medicine, 2008-04, Vol.358 (17), p.1781-1792</ispartof><rights>Copyright © 2008 Massachusetts Medical Society. All rights reserved.</rights><rights>2008 INIST-CNRS</rights><rights>Copyright 2008 Massachusetts Medical Society.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c574t-aa3b1561e9affe1e2a6958518532be884d79a87e33f13fec1c7e150789611a9a3</citedby><cites>FETCH-LOGICAL-c574t-aa3b1561e9affe1e2a6958518532be884d79a87e33f13fec1c7e150789611a9a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.nejm.org/doi/pdf/10.1056/NEJMoa0801441$$EPDF$$P50$$Gmms$$H</linktopdf><linktohtml>$$Uhttps://www.nejm.org/doi/full/10.1056/NEJMoa0801441$$EHTML$$P50$$Gmms$$H</linktohtml><link.rule.ids>314,776,780,2746,2747,26080,27901,27902,52357,54039</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=20295115$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18378517$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Seung, Ki Bae</creatorcontrib><creatorcontrib>Park, Seong-Wook</creatorcontrib><creatorcontrib>Park, Duk-Woo</creatorcontrib><creatorcontrib>Park, Hun Sik</creatorcontrib><creatorcontrib>Park, Seung-Jung</creatorcontrib><creatorcontrib>Kim, Hyo-Soo</creatorcontrib><creatorcontrib>Kim, Pum Joon</creatorcontrib><creatorcontrib>Kim, Young-Hak</creatorcontrib><creatorcontrib>Lee, Seung-Whan</creatorcontrib><creatorcontrib>Lee, Cheol Whan</creatorcontrib><creatorcontrib>Hong, Myeong-Ki</creatorcontrib><creatorcontrib>Yun, Sung-Cheol</creatorcontrib><creatorcontrib>Gwon, Hyeon-Cheol</creatorcontrib><creatorcontrib>Jeong, Myung-Ho</creatorcontrib><creatorcontrib>Jang, Yangsoo</creatorcontrib><creatorcontrib>Seong, In-Whan</creatorcontrib><creatorcontrib>Ahn, Taehoon</creatorcontrib><creatorcontrib>Chae, In-Ho</creatorcontrib><creatorcontrib>Tahk, Seung-Jea</creatorcontrib><creatorcontrib>Chung, Wook-Sung</creatorcontrib><title>Stents versus Coronary-Artery Bypass Grafting for Left Main Coronary Artery Disease</title><title>The New England journal of medicine</title><addtitle>N Engl J Med</addtitle><description>A cohort of patients who underwent stent implantation for unprotected left main coronary artery disease was compared with a propensity-matched cohort of patients who underwent coronary-artery bypass grafting. The risk of death and the composite outcome of death, Q-wave myocardial infarction, or stroke did not differ significantly between the two groups. The risk of target-vessel revascularization was higher in the group that received stents.
The risk of death and the composite outcome of death, Q-wave myocardial infarction, or stroke did not differ significantly between the two groups. The risk of target-vessel revascularization was higher in the group that received stents.
Significant narrowing of the left main coronary artery puts a patient at high risk, since it can jeopardize the entire myocardium of the left ventricle, and it has the worst prognosis of any form of coronary artery disease.
1
On the basis of clinical trials that show a survival benefit with bypass surgery as compared with medical treatment,
1
–
4
coronary-artery bypass grafting (CABG) has been considered standard therapy for patients with left main coronary artery disease and is recommended by current practice guidelines.
5
,
6
Because of concern about procedural risk and long-term durability, percutaneous coronary intervention (PCI) usually has been restricted . . .</description><subject>Aged</subject><subject>Angioplasty, Balloon, Coronary</subject><subject>Biological and medical sciences</subject><subject>Cardiology. Vascular system</subject><subject>Cardiovascular disease</subject><subject>Cohort Studies</subject><subject>Coronary Artery Bypass</subject><subject>Coronary Disease - mortality</subject><subject>Coronary Disease - surgery</subject><subject>Coronary Disease - therapy</subject><subject>Coronary heart disease</subject><subject>Coronary vessels</subject><subject>Drug-Eluting Stents</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>General aspects</subject><subject>Heart</subject><subject>Heart attacks</subject><subject>Humans</subject><subject>Kaplan-Meier Estimate</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Myocardial Infarction - epidemiology</subject><subject>Myocardial Revascularization</subject><subject>Risk Factors</subject><subject>Stents</subject><subject>Stroke - epidemiology</subject><subject>Treatment Outcome</subject><issn>0028-4793</issn><issn>1533-4406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp10c9P2zAUB3BrYloL7LjrFCHBLcwvthP7WEopTGUc2M7Ra3hGqZqk80sm9b_HiKhok_Yuvnz0fnwtxBeQlyBN_u3H4vt9h9JK0Bo-iCkYpVKtZX4kplJmNtWFUxNxzLyRsUC7T2ICVhXWQDEVj489tT0nfyjwwMm8C12LYZ_OQk9hn1ztd8icLAP6vm6fE9-FZEW-T-6xbg86GfV1zYRMp-Kjxy3T5_E9Eb9uFj_nt-nqYXk3n63SyhS6TxHVGkwO5NB7AsowdyZuZY3K1mStfioc2oKU8qA8VVAVBEYW1uUA6FCdiIu3vrvQ_R6I-7KpuaLtFlvqBi5zB0pmRkd49g_cdENo425llikXJ-YyovQNVaFjDuTLXaibeF0JsnyNuvwr6ui_jk2HdUNP73rMNoLzESBXuPUB26rmg8tk5gzE7zq4puGypU3zn4EvH5WQnw</recordid><startdate>20080424</startdate><enddate>20080424</enddate><creator>Seung, Ki Bae</creator><creator>Park, Seong-Wook</creator><creator>Park, Duk-Woo</creator><creator>Park, Hun Sik</creator><creator>Park, Seung-Jung</creator><creator>Kim, Hyo-Soo</creator><creator>Kim, Pum Joon</creator><creator>Kim, Young-Hak</creator><creator>Lee, Seung-Whan</creator><creator>Lee, Cheol Whan</creator><creator>Hong, Myeong-Ki</creator><creator>Yun, Sung-Cheol</creator><creator>Gwon, Hyeon-Cheol</creator><creator>Jeong, Myung-Ho</creator><creator>Jang, Yangsoo</creator><creator>Seong, In-Whan</creator><creator>Ahn, Taehoon</creator><creator>Chae, In-Ho</creator><creator>Tahk, Seung-Jea</creator><creator>Chung, Wook-Sung</creator><general>Massachusetts Medical Society</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0TZ</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K0Y</scope><scope>LK8</scope><scope>M0R</scope><scope>M0T</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2P</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQGLB</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20080424</creationdate><title>Stents versus Coronary-Artery Bypass Grafting for Left Main Coronary Artery Disease</title><author>Seung, Ki Bae ; Park, Seong-Wook ; Park, Duk-Woo ; Park, Hun Sik ; Park, Seung-Jung ; Kim, Hyo-Soo ; Kim, Pum Joon ; Kim, Young-Hak ; Lee, Seung-Whan ; Lee, Cheol Whan ; Hong, Myeong-Ki ; Yun, Sung-Cheol ; Gwon, Hyeon-Cheol ; Jeong, Myung-Ho ; Jang, Yangsoo ; Seong, In-Whan ; Ahn, Taehoon ; Chae, In-Ho ; Tahk, Seung-Jea ; Chung, Wook-Sung</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c574t-aa3b1561e9affe1e2a6958518532be884d79a87e33f13fec1c7e150789611a9a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Aged</topic><topic>Angioplasty, Balloon, Coronary</topic><topic>Biological and medical sciences</topic><topic>Cardiology. Vascular system</topic><topic>Cardiovascular disease</topic><topic>Cohort Studies</topic><topic>Coronary Artery Bypass</topic><topic>Coronary Disease - mortality</topic><topic>Coronary Disease - surgery</topic><topic>Coronary Disease - therapy</topic><topic>Coronary heart disease</topic><topic>Coronary vessels</topic><topic>Drug-Eluting Stents</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>General aspects</topic><topic>Heart</topic><topic>Heart attacks</topic><topic>Humans</topic><topic>Kaplan-Meier Estimate</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Myocardial Infarction - epidemiology</topic><topic>Myocardial Revascularization</topic><topic>Risk Factors</topic><topic>Stents</topic><topic>Stroke - epidemiology</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Seung, Ki Bae</creatorcontrib><creatorcontrib>Park, Seong-Wook</creatorcontrib><creatorcontrib>Park, Duk-Woo</creatorcontrib><creatorcontrib>Park, Hun Sik</creatorcontrib><creatorcontrib>Park, Seung-Jung</creatorcontrib><creatorcontrib>Kim, Hyo-Soo</creatorcontrib><creatorcontrib>Kim, Pum Joon</creatorcontrib><creatorcontrib>Kim, Young-Hak</creatorcontrib><creatorcontrib>Lee, Seung-Whan</creatorcontrib><creatorcontrib>Lee, Cheol Whan</creatorcontrib><creatorcontrib>Hong, Myeong-Ki</creatorcontrib><creatorcontrib>Yun, Sung-Cheol</creatorcontrib><creatorcontrib>Gwon, Hyeon-Cheol</creatorcontrib><creatorcontrib>Jeong, Myung-Ho</creatorcontrib><creatorcontrib>Jang, Yangsoo</creatorcontrib><creatorcontrib>Seong, In-Whan</creatorcontrib><creatorcontrib>Ahn, Taehoon</creatorcontrib><creatorcontrib>Chae, In-Ho</creatorcontrib><creatorcontrib>Tahk, Seung-Jea</creatorcontrib><creatorcontrib>Chung, Wook-Sung</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Pharma and Biotech Premium PRO</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>eLibrary</collection><collection>ProQuest Central</collection><collection>Natural Science Collection (ProQuest)</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>New England Journal of Medicine</collection><collection>ProQuest Biological Science Collection</collection><collection>Consumer Health Database</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Research Library</collection><collection>Science Database</collection><collection>Biological Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>ProQuest Health & Medical Research Collection</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest One Health & Nursing</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Applied & Life Sciences</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The New England journal of medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Seung, Ki Bae</au><au>Park, Seong-Wook</au><au>Park, Duk-Woo</au><au>Park, Hun Sik</au><au>Park, Seung-Jung</au><au>Kim, Hyo-Soo</au><au>Kim, Pum Joon</au><au>Kim, Young-Hak</au><au>Lee, Seung-Whan</au><au>Lee, Cheol Whan</au><au>Hong, Myeong-Ki</au><au>Yun, Sung-Cheol</au><au>Gwon, Hyeon-Cheol</au><au>Jeong, Myung-Ho</au><au>Jang, Yangsoo</au><au>Seong, In-Whan</au><au>Ahn, Taehoon</au><au>Chae, In-Ho</au><au>Tahk, Seung-Jea</au><au>Chung, Wook-Sung</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Stents versus Coronary-Artery Bypass Grafting for Left Main Coronary Artery Disease</atitle><jtitle>The New England journal of medicine</jtitle><addtitle>N Engl J Med</addtitle><date>2008-04-24</date><risdate>2008</risdate><volume>358</volume><issue>17</issue><spage>1781</spage><epage>1792</epage><pages>1781-1792</pages><issn>0028-4793</issn><eissn>1533-4406</eissn><coden>NEJMAG</coden><abstract>A cohort of patients who underwent stent implantation for unprotected left main coronary artery disease was compared with a propensity-matched cohort of patients who underwent coronary-artery bypass grafting. The risk of death and the composite outcome of death, Q-wave myocardial infarction, or stroke did not differ significantly between the two groups. The risk of target-vessel revascularization was higher in the group that received stents.
The risk of death and the composite outcome of death, Q-wave myocardial infarction, or stroke did not differ significantly between the two groups. The risk of target-vessel revascularization was higher in the group that received stents.
Significant narrowing of the left main coronary artery puts a patient at high risk, since it can jeopardize the entire myocardium of the left ventricle, and it has the worst prognosis of any form of coronary artery disease.
1
On the basis of clinical trials that show a survival benefit with bypass surgery as compared with medical treatment,
1
–
4
coronary-artery bypass grafting (CABG) has been considered standard therapy for patients with left main coronary artery disease and is recommended by current practice guidelines.
5
,
6
Because of concern about procedural risk and long-term durability, percutaneous coronary intervention (PCI) usually has been restricted . . .</abstract><cop>Boston, MA</cop><pub>Massachusetts Medical Society</pub><pmid>18378517</pmid><doi>10.1056/NEJMoa0801441</doi><tpages>12</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | The New England journal of medicine, 2008-04, Vol.358 (17), p.1781-1792 |
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| language | eng |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; New England Journal of Medicine |
| subjects | Aged Angioplasty, Balloon, Coronary Biological and medical sciences Cardiology. Vascular system Cardiovascular disease Cohort Studies Coronary Artery Bypass Coronary Disease - mortality Coronary Disease - surgery Coronary Disease - therapy Coronary heart disease Coronary vessels Drug-Eluting Stents Female Follow-Up Studies General aspects Heart Heart attacks Humans Kaplan-Meier Estimate Male Medical sciences Middle Aged Myocardial Infarction - epidemiology Myocardial Revascularization Risk Factors Stents Stroke - epidemiology Treatment Outcome |
| title | Stents versus Coronary-Artery Bypass Grafting for Left Main Coronary Artery Disease |
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