CABG versus PCI: Lessons from randomized trials and observational registries

Amit P. Amin, Hemant Kulkarni

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Medical, percutaneous, and surgical therapies for coronary atherosclerotic disease are developing rapidly, with many new pivotal trials demonstrating technological breakthroughs in pharmacologic therapy, improvements in catheter and stent platforms, and advances in surgical technique. While traditional treatment guidelines generally recommend coronary artery bypass grafting surgery for three vessel and left main disease, they do not take into account several of the recent data. Use of these newer technologies has led to numerous new randomized trials that have challenged the older guideline recommendations. Considering such complex and, sometimes conflicting data, determination of the most appropriate treatment remains challenging. In this chapter, we examine important old and new data and trials comparing contemporary stent technology and coronary artery bypass surgery, discuss the most recent revascularization guidelines, and conclude with future steps and suggested revascularization recommendations that take the new data into account.

Original languageEnglish
Title of host publicationCoronary Artery Disease, Cardiac Arrest and Bypass Surgery
Subtitle of host publicationRisk Factors, Health Effects and Outcomes
PublisherNova Science Publishers, Inc.
Pages177-193
Number of pages17
ISBN (Print)9781621009764
StatePublished - Dec 1 2012
Externally publishedYes

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    Amin, A. P., & Kulkarni, H. (2012). CABG versus PCI: Lessons from randomized trials and observational registries. In Coronary Artery Disease, Cardiac Arrest and Bypass Surgery: Risk Factors, Health Effects and Outcomes (pp. 177-193). Nova Science Publishers, Inc..