Logo image
Back
Long-term mortality of coronary artery bypass graft surgery and stenting with drug-eluting stents
Journal article   Open access   Peer reviewed

Long-term mortality of coronary artery bypass graft surgery and stenting with drug-eluting stents

Chuntao Wu, Fabian T Camacho, Songyang Zhao, Andrew S Wechsler, Alfred T Culliford, Stephen J Lahey, Spencer B King, 3rd, Gary Walford, Jeffrey P Gold, Craig R Smith, …
The Annals of thoracic surgery, v 95(4), pp 1297-1305
Apr 2013
DOI: https://doi.org/10.1016/j.athoracsur.2012.11.073
PMID: 23391171
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://europepmc.org/articles/pmc3756666View
Accepted (AM)Open Access (License Unspecified),  Open

Abstract

Aged Aged, 80 and over Coronary Artery Bypass - methods Coronary Artery Bypass - mortality Coronary Disease - mortality Coronary Disease - surgery Drug-Eluting Stents Female Follow-Up Studies Humans Male Middle Aged New York - epidemiology Prognosis Retrospective Studies Risk Assessment - methods Risk Factors Survival Rate - trends Time Factors
Few studies have examined differences in long-term mortality between coronary artery bypass graft surgery and stenting with drug-eluting stents (DES) for multivessel disease without left main coronary artery stenosis. This study compares the risks of long-term mortality between these 2 procedures during a follow-up of up to 5 years. Patients who underwent isolated bypass surgery (n=13,212) and stenting with DES (n=20,161) between October 2003 and December 2005 in New York State were followed for their vital status through 2008. To control for treatment selection bias, bypass and stenting patients were matched on age, number of diseased coronary vessels, presence of proximal or nonproximal left anterior descending (LAD) artery disease, and propensity of undergoing bypass surgery. Five-year survival rates for the 2 procedures were compared and hazard ratios for death of bypass surgery compared with stenting were obtained. The respective 5-year survival rates in the 8,121 pairs of matched bypass and stenting patients were 80.4% and 73.6% (p<0.001), and the risk of death after bypass surgery was 29% lower than for stenting (hazard ratio = 0.71, 95% confidence interval: 0.67 to 0.77, p<0.001). Significantly lower risks of death for bypass surgery were observed in patients with LAD artery disease but not in patients without LAD artery disease. Significantly lower risks of death for bypass surgery were also found in all patient subgroups defined by the presence of selected baseline risk factors. Bypass surgery is associated with lower risk of death than stenting with DES for multivessel disease without left main stenosis.

Metrics

13 Record Views
25 citations in Web of Science
33 citations in Scopus

Details

UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#3 Good Health and Well-Being

InCites Highlights

Data related to this publication, from InCites Benchmarking & Analytics tool:

Collaboration types
Domestic collaboration
Web of Science research areas
Cardiac & Cardiovascular Systems
Respiratory System
Surgery
Logo image