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CABG is associated with higher long-term survival
- Thread starter G0S2
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I received the print today since I am in Mass. It is strange that the website isn't updated. It usually is by the time I receive the print edition.
It is in the May 26 issue Vol.352 No.21 page 2174.
Basically, the surgical group of patients (those receiving CABG) were sicker than those undergoing PCI. When udjusted for basline risk, however, the CABG group had a better overall survival in all groups with three vessel, two vessel and proximal left anterior artery, and two vessels w/o left anterior involvement. Differences in survival arose after only 3 years post procedure.
It is in the May 26 issue Vol.352 No.21 page 2174.
Basically, the surgical group of patients (those receiving CABG) were sicker than those undergoing PCI. When udjusted for basline risk, however, the CABG group had a better overall survival in all groups with three vessel, two vessel and proximal left anterior artery, and two vessels w/o left anterior involvement. Differences in survival arose after only 3 years post procedure.
EBM finally makes sense:
Conclusions For patients with two or more diseased coronary arteries, CABG is associated with higher adjusted rates of long-term survival than stenting.
N Engl J Med 2005;352:2174-83.
Conclusions For patients with two or more diseased coronary arteries, CABG is associated with higher adjusted rates of long-term survival than stenting.
N Engl J Med 2005;352:2174-83.
G0S2 said:
I just read that article -- the cardiologists aren't going to like it! (especially the interventional folks).
Given that I just joined an anesthesia group that does almost 40% cardiac (and mostly private insurance at that), I am also excited to hear that.
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i'm sure in a couple months a group of cardiologists is going to publish their own research on how stents are better than CABG.
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It doesn't matter what is actually better -- it only matters what the cardiolgist tells their patient to do 😉
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