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Accepted (AM)Open Access (License Unspecified), Open
Journal article
Long-Term Mortality of Coronary Artery Bypass Grafting and Bare-Metal Stenting
The Annals of thoracic surgery, v 92(6), pp 2132-2138
2011
PMID: 22014747
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
There is little information on relative survival with follow-up longer than 5 years in patients undergoing coronary artery bypass grafting (CABG) and patients undergoing percutaneous coronary intervention (PCI) with stenting. This study tested the hypothesis that CABG is associated with a lower risk of long-term (8-year) mortality than is stenting with bare-metal stents for multivessel coronary disease.
We identified 18,359 patients with multivessel disease who underwent isolated CABG and 13,377 patients who received bare-metal stenting in 1999 to 2000 in New York and followed their vital status through 2007 using the National Death Index (NDI). We matched CABG and stent patients on the number of diseased coronary vessels, proximal left anterior descending (LAD) artery disease, and propensity of undergoing CABG based on numerous patient characteristics and compared survival after the 2 procedures.
In the 7,235 pairs of matched patients, the overall 8-year survival rates were 78.0% for CABG and 71.2% for stenting (hazard ratio [HR], 0.68; 95% confidence interval [CI], 0.64 to 0.74;
p < 0.001). For anatomic groups classified by the number of diseased vessels and proximal LAD involvement, the HRs ranged from 0.53 (
p < 0.001) for patients with 3-vessel disease involving proximal LAD artery disease to 0.78 (
p = 0.05) for patients with 2-vessel disease but no disease in the LAD artery. A lower risk of death after CABG was observed in all subgroups stratified by a number of baseline risk factors.
Coronary artery bypass grafting is associated with a lower risk of death than is stenting with bare metal stents for multivessel coronary disease.
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Details
- Title
- Long-Term Mortality of Coronary Artery Bypass Grafting and Bare-Metal Stenting
- Creators
- Chuntao Wu - Pennsylvania State UniversitySongyang Zhao - University at Albany, State University of New YorkAndrew S. Wechsler - Drexel UniversityStephen Lahey - Maimonides Medical CenterGary Walford - Heart and Vascular Institute; Johns Hopkins Medical Center; Baltimore MarylandAlfred T. Culliford - New York UniversityJeffrey P. Gold - University of ToledoCraig R. Smith - Columbia UniversityDavid R. Holmes - Mayo ClinicSpencer B. King - St. Joseph Health SystemRobert S.D. Higgins - The Ohio State UniversityDesmond Jordan - Columbia UniversityEdward L. Hannan - University at Albany, State University of New York
- Publication Details
- The Annals of thoracic surgery, v 92(6), pp 2132-2138
- Publisher
- Elsevier
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- [Retired Faculty]
- Web of Science ID
- WOS:000297333300037
- Scopus ID
- 2-s2.0-81855213187
- Other Identifier
- 991019168389804721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Cardiac & Cardiovascular Systems
- Respiratory System
- Surgery