Off-pump coronary artery bypass grafting versus percutaneous coronary intervention with second-generation drug-eluting stents for coronary artery revascularization
Objective This study compared the clinical efficacy of off-pump coronary artery bypass grafting (OPCAB) with percutaneous coronary intervention (PCI) in the treatment of left main coronary artery and/or triple-vessel disease (LM and/or TVD). Methods We retrospectively enrolled 1484 consecutive patie...
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| Format: | Article |
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SAGE Publishing
2024-12-01
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| Series: | Journal of International Medical Research |
| Online Access: | https://doi.org/10.1177/03000605241304545 |
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| author | Nan Li Xin Xiong Kun Yang Yijun Xu Zhiqiang Chen Peng Liu Wen Wen Xiaowei Li Jin Dong Shoudong Wei Durong Chen Xiaolong Zhang Dajiang Yuan Yongzhi Deng |
| author_facet | Nan Li Xin Xiong Kun Yang Yijun Xu Zhiqiang Chen Peng Liu Wen Wen Xiaowei Li Jin Dong Shoudong Wei Durong Chen Xiaolong Zhang Dajiang Yuan Yongzhi Deng |
| author_sort | Nan Li |
| collection | DOAJ |
| description | Objective This study compared the clinical efficacy of off-pump coronary artery bypass grafting (OPCAB) with percutaneous coronary intervention (PCI) in the treatment of left main coronary artery and/or triple-vessel disease (LM and/or TVD). Methods We retrospectively enrolled 1484 consecutive patients with LM and/or TVD in Shanxi Cardiovascular Hospital from January 2015 to December 2022 and divided them into the OPCAB group (n = 583) and the PCI group (with second-generation drug-eluting stents) (n = 901). Propensity score matching was used for 316 equally matched pairs of patients in the groups. The outcomes were all-cause and cardiac mortality, angina recurrence, and major adverse cardiac and cerebrovascular events, which comprised non-lethal myocardial infarction, stroke, and repeat revascularization. Results The mean follow-up was 3.93 years in the OPCAB group and 4.19 years in the PCI group. There were no significant differences in all-cause mortality, cardiac mortality, major adverse cardiac and cerebrovascular events, or non-lethal myocardial infarction between the groups. The incidence of repeat revascularization and angina recurrence was higher in the PCI group than in the OPCAB group. However, the incidence of stroke was higher in the OPCAB group than in the PCI group. Conclusions OPCAB may be a favorable coronary revascularization strategy for LM and/or TVD. |
| format | Article |
| id | doaj-art-588e16d4094d4faba1245c5e78b5a4e4 |
| institution | Kabale University |
| issn | 1473-2300 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of International Medical Research |
| spelling | doaj-art-588e16d4094d4faba1245c5e78b5a4e42024-12-23T09:04:38ZengSAGE PublishingJournal of International Medical Research1473-23002024-12-015210.1177/03000605241304545Off-pump coronary artery bypass grafting versus percutaneous coronary intervention with second-generation drug-eluting stents for coronary artery revascularizationNan LiXin XiongKun YangYijun XuZhiqiang ChenPeng LiuWen WenXiaowei LiJin DongShoudong WeiDurong ChenXiaolong ZhangDajiang YuanYongzhi DengObjective This study compared the clinical efficacy of off-pump coronary artery bypass grafting (OPCAB) with percutaneous coronary intervention (PCI) in the treatment of left main coronary artery and/or triple-vessel disease (LM and/or TVD). Methods We retrospectively enrolled 1484 consecutive patients with LM and/or TVD in Shanxi Cardiovascular Hospital from January 2015 to December 2022 and divided them into the OPCAB group (n = 583) and the PCI group (with second-generation drug-eluting stents) (n = 901). Propensity score matching was used for 316 equally matched pairs of patients in the groups. The outcomes were all-cause and cardiac mortality, angina recurrence, and major adverse cardiac and cerebrovascular events, which comprised non-lethal myocardial infarction, stroke, and repeat revascularization. Results The mean follow-up was 3.93 years in the OPCAB group and 4.19 years in the PCI group. There were no significant differences in all-cause mortality, cardiac mortality, major adverse cardiac and cerebrovascular events, or non-lethal myocardial infarction between the groups. The incidence of repeat revascularization and angina recurrence was higher in the PCI group than in the OPCAB group. However, the incidence of stroke was higher in the OPCAB group than in the PCI group. Conclusions OPCAB may be a favorable coronary revascularization strategy for LM and/or TVD.https://doi.org/10.1177/03000605241304545 |
| spellingShingle | Nan Li Xin Xiong Kun Yang Yijun Xu Zhiqiang Chen Peng Liu Wen Wen Xiaowei Li Jin Dong Shoudong Wei Durong Chen Xiaolong Zhang Dajiang Yuan Yongzhi Deng Off-pump coronary artery bypass grafting versus percutaneous coronary intervention with second-generation drug-eluting stents for coronary artery revascularization Journal of International Medical Research |
| title | Off-pump coronary artery bypass grafting versus percutaneous coronary intervention with second-generation drug-eluting stents for coronary artery revascularization |
| title_full | Off-pump coronary artery bypass grafting versus percutaneous coronary intervention with second-generation drug-eluting stents for coronary artery revascularization |
| title_fullStr | Off-pump coronary artery bypass grafting versus percutaneous coronary intervention with second-generation drug-eluting stents for coronary artery revascularization |
| title_full_unstemmed | Off-pump coronary artery bypass grafting versus percutaneous coronary intervention with second-generation drug-eluting stents for coronary artery revascularization |
| title_short | Off-pump coronary artery bypass grafting versus percutaneous coronary intervention with second-generation drug-eluting stents for coronary artery revascularization |
| title_sort | off pump coronary artery bypass grafting versus percutaneous coronary intervention with second generation drug eluting stents for coronary artery revascularization |
| url | https://doi.org/10.1177/03000605241304545 |
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