Abstract
Percutaneous coronary intervention (PCI) and coronary artery bypass graft (CABG) surgery are two very different procedures with varying early and late risks and benefits. For many patients with left main coronary artery disease, the choice between PCI and CABG will be agreed upon by all specialists. For example, CABG may be strongly preferred by the heart team if extensive non-left main-related coronary artery disease is present (high SYNTAX score), and PCI may be strongly preferred if multiple clinical comorbidities are present (e.g. prior stroke, lung disease, frailty). For other patients in whom revascularization can be completed safely with both procedures (i.e. equipoise is present) there will be substantial and comparable long-term improvements in survival and quality of life after both PCI and CABG. In such cases, patient preference regarding the early vs. late trade-offs of the procedures (safety profile of PCI vs. durability of CABG) should inform clinical decision-making. AKI, acute kidney injury; MACE, major adverse cardiovascular events; MI, myocardial infarction.
Published Version
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call