CABG is associated with higher long-term survival

G0S2 · May 25, 2005

NEJM 352:2174

Study finds that CABG is associated with higher long-term survival is patients with 2 or more diseased arteries versus stenting (PCI). Good for CT fellows to hear, I imagine.

avgjoe · May 25, 2005

G0S2 said:
NEJM 352:2174

Study finds that CABG is associated with higher long-term survival is patients with 2 or more diseased arteries versus stenting (PCI). Good for CT fellows to hear, I imagine.

What's the entire citation (so that i can find this on pubmed)?

doc05 · May 25, 2005

avgjoe said:
What's the entire citation (so that i can find this on pubmed)?

it's in tomorrow's issue. not posted on nejm.org yet.

G0S2 · May 25, 2005

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.

doc05 · May 25, 2005

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.

G0S2 said:
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.

AJM · May 25, 2005

I just read that article -- the cardiologists aren't going to like it! (especially the interventional folks).

UTSouthwestern · May 27, 2005

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.

Dire Straits · May 28, 2005

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.

eddieberetta · May 28, 2005

It doesn't matter what is actually better -- it only matters what the cardiolgist tells their patient to do 😉

CABG is associated with higher long-term survival

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