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Choice of Revascularization Strategy for Patients With Coronary Artery Disease
René Prêtre, MD;
Marko I. Turina, MD
JAMA. 2001;285:992-994.
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INTRODUCTION
Surgical coronary artery bypass grafting (CABG) was first performed in 1967 and percutaneous transluminal coronary artery angioplasty (PTCA) in 1977. Initially the 2 revascularization methods appeared complementary: the less invasive PTCA seemed suited for patients with limited lesions, and CABG for those with diffuse disease. The Duke University group, in a large prospective study, first established that PTCA achieved the greatest survival benefit in patients with a single-vessel disease other than proximal left anterior descending (LAD) artery stenosis, and CABG in those with multivessel disease or proximal LAD artery stenosis. Patients with 2-vessel disease or an isolated proximal LAD artery stenosis had similar results with either therapy.1-2 However, individual clinical variables, such as the characteristics of the stenosis, the patient's ventricular function, and associated comorbidities, are often factored into the final decision about the method of revascularization. In the 1990s, a number of . . . [Full Text of this Article]
PTCA vs CABG: The Randomized Trials
Mortality and Recurrent Disease Other End Points
Recent Developments
Intracoronary Stenting Minimally Invasive Surgery Arterial Revascularization
Current Management of Patients With CAD
Author Affiliations: Cardiovascular Surgery, University Hospital, Zürich, Switzerland.
RELATED LETTER
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Harry W. Donias, Colin J. Powers, Jacob Bergsland, Hratch L. Karamanoukian, René Prêtre, and Marko I. Turina
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