Percutaneous coronary intervention versus coronary artery bypass grafting for diabetics with multivessel coronary artery disease: the Korean Multicenter Revascularization Registry (KORR)

This study was designed to assess the relative merits of percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG) in multivessel coronary artery disease (MVCAD), particularly for Korean diabetics. Among 3,279 patients with MVCAD who were recommended for revascularization w...

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Veröffentlicht in:Journal of Korean medical science 2005-04, Vol.20 (2), p.196-203
Hauptverfasser: Gwon, Hyeon-Cheol, Choi, Seung Hee, Choi, Byung-Il William, Cho, Seung Yun, Ro, Young Moo, Lee, Won Ro
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container_start_page 196
container_title Journal of Korean medical science
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creator Gwon, Hyeon-Cheol
Choi, Seung Hee
Choi, Byung-Il William
Cho, Seung Yun
Ro, Young Moo
Lee, Won Ro
description This study was designed to assess the relative merits of percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG) in multivessel coronary artery disease (MVCAD), particularly for Korean diabetics. Among 3,279 patients with MVCAD who were recommended for revascularization were enrolled from nine centers in Korea, 2,154 were selected after statistical adjustments for the disparities between two groups. Survival rates were not significantly different for three years between two groups. Among diabetic patients, the three-year mortality rate in PCI group was 1.9-fold higher than that of CABG group, although it was not statistically significant (PCI 19.8%, CABG 11.4%, p=0.14). The three-year mortality rate was similar between the two groups in non-diabetics (PCI 8.3%, CABG 10.0%, p=0.50). The 30-day rate of cerebrovascular event was higher in CABG group, for both diabetic (CABG 3.6%, PCI 0.0%, p
doi_str_mv 10.3346/jkms.2005.20.2.196
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Among 3,279 patients with MVCAD who were recommended for revascularization were enrolled from nine centers in Korea, 2,154 were selected after statistical adjustments for the disparities between two groups. Survival rates were not significantly different for three years between two groups. Among diabetic patients, the three-year mortality rate in PCI group was 1.9-fold higher than that of CABG group, although it was not statistically significant (PCI 19.8%, CABG 11.4%, p=0.14). The three-year mortality rate was similar between the two groups in non-diabetics (PCI 8.3%, CABG 10.0%, p=0.50). The 30-day rate of cerebrovascular event was higher in CABG group, for both diabetic (CABG 3.6%, PCI 0.0%, p&lt;0.001) and non-diabetic patients (CABG 2.4%, PCI 0.0%, p&lt;0.001). Short- and long-term revascularization rates were higher in PCI group than in CABG group. As a conclusion, this Korean registry demonstrates that PCI was associated with comparable survival rates and lower short-term morbidity, but a greater requirement for repeated revascularization compared with CABG in Korean diabetics.</description><identifier>ISSN: 1011-8934</identifier><identifier>EISSN: 1598-6357</identifier><identifier>DOI: 10.3346/jkms.2005.20.2.196</identifier><identifier>PMID: 15831986</identifier><language>eng</language><publisher>Korea (South): The Korean Academy of Medical Sciences</publisher><subject>Angioplasty, Balloon, Coronary ; Coronary Artery Bypass ; Coronary Disease - therapy ; Diabetic Angiopathies - therapy ; Humans ; Original ; Registries ; Retrospective Studies ; Stents</subject><ispartof>Journal of Korean medical science, 2005-04, Vol.20 (2), p.196-203</ispartof><rights>Copyright © 2005 The Korean Academy of Medical Sciences 2005</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c400t-1f3b6ca6dc5a94caa6eb6e4ca1f8b5e6b9f1ee83c8997c6fa7bb134d98b5b08b3</citedby><cites>FETCH-LOGICAL-c400t-1f3b6ca6dc5a94caa6eb6e4ca1f8b5e6b9f1ee83c8997c6fa7bb134d98b5b08b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2808591/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2808591/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15831986$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gwon, Hyeon-Cheol</creatorcontrib><creatorcontrib>Choi, Seung Hee</creatorcontrib><creatorcontrib>Choi, Byung-Il William</creatorcontrib><creatorcontrib>Cho, Seung Yun</creatorcontrib><creatorcontrib>Ro, Young Moo</creatorcontrib><creatorcontrib>Lee, Won Ro</creatorcontrib><creatorcontrib>KORR Investigators</creatorcontrib><creatorcontrib>KORR Investigators</creatorcontrib><title>Percutaneous coronary intervention versus coronary artery bypass grafting for diabetics with multivessel coronary artery disease: the Korean Multicenter Revascularization Registry (KORR)</title><title>Journal of Korean medical science</title><addtitle>J Korean Med Sci</addtitle><description>This study was designed to assess the relative merits of percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG) in multivessel coronary artery disease (MVCAD), particularly for Korean diabetics. 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subjects Angioplasty, Balloon, Coronary
Coronary Artery Bypass
Coronary Disease - therapy
Diabetic Angiopathies - therapy
Humans
Original
Registries
Retrospective Studies
Stents
title Percutaneous coronary intervention versus coronary artery bypass grafting for diabetics with multivessel coronary artery disease: the Korean Multicenter Revascularization Registry (KORR)
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