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Cardiovascular Disease Information Center

Comparable 5-Year Outcomes With PCI, CABG for Left Main CAD

The use of percutaneous coronary intervention and coronary artery bypass grafting for the treatment of left main coronary artery disease of low or intermediate anatomic complexity was found to be associated with comparable rates of a composite of death, stroke, and myocardial infarction at 5 years.
Web Exclusives

Smoking impairs CABG vein grafts

Smoking associated with worse saphenous vein graft patency at one and two years after CABG.
Evidence-Based Medicine

CABG may lower mortality compared to PCI in patients with diabetes and those older than 65

Level 2: Mid-level evidence The relative benefits of coronary artery bypass graft (CABG) and percutaneous coronary intervention (PCI) continue to be actively debated and analyzed. A recent meta-analysis of individual data from 7,812 patients in 10 randomized trials suggests that CABG may be associated with lower mortality in certain populations (Lancet. 2009;373:1190-1197). There was no…
Evidence-Based Medicine

PCI with paclitaxel-eluting stent might be alternative to CABG

Level 1: Likely reliable evidence In patients with three-vessel and/or left main coronary artery disease (CAD), percutaneous coronary intervention (PCI) with paclitaxel-eluting stents is equivalent to coronary artery bypass grafting (CABG) for overall mortality and MI rate at 12 months. PCI patients had increased risk for repeat revascularization procedures but a reduced risk of subsequent…
Advisor Forum


After undergoing coronary artery bypass grafting (CABG), a patient was sent home on clopidogrel (Plavix) but not aspirin. When he presented to the emergency department with acute coronary syndrome (ACS), he was not given aspirin at that time either, the emergency staff claiming that since he was on clopidogrel, he did not need aspirin. Is…
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