作者
Jung-Min Ahn, Jae-Hyung Roh, Young-Hak Kim, Duk-Woo Park, Sung-Cheol Yun, Pil Hyung Lee, Mineok Chang, Hyun Woo Park, Seung-Whan Lee, Cheol Whan Lee, Seong-Wook Park, Suk Jung Choo, CheolHyun Chung, JaeWon Lee, Do-Sun Lim, Seung-Woon Rha, Sang-Gon Lee, Hyeon-Cheol Gwon, Hyo-Soo Kim, In-Ho Chae, Yangsoo Jang, Myung-Ho Jeong, Seung-Jea Tahk, Ki Bae Seung, Seung-Jung Park
发表日期
2015/5/26
期刊
Journal of the American College of Cardiology
卷号
65
期号
20
页码范围
2198-2206
出版商
American College of Cardiology Foundation
简介
Background
In a previous randomized trial, we found that percutaneous coronary intervention (PCI) was not inferior to coronary artery bypass grafting (CABG) for the treatment of unprotected left main coronary artery stenosis at 1 year.
Objectives
This study sought to determine the 5-year outcomes of PCI compared with CABG for the treatment of unprotected left main coronary artery stenosis.
Methods
We randomly assigned 600 patients with unprotected left main coronary artery stenosis to undergo PCI with a sirolimus-eluting stent (n = 300) or CABG (n = 300). The primary endpoint was a major adverse cardiac or cerebrovascular event (MACCE: a composite of death from any cause, myocardial infarction, stroke, or ischemia-driven target vessel revascularization) and compared on an intention-to-treat basis.
Results
At 5 years, MACCE occurred in 52 patients in the PCI group and 42 patients in the CABG group …
学术搜索中的文章
JM Ahn, JH Roh, YH Kim, DW Park, SC Yun, PH Lee… - Journal of the American College of Cardiology, 2015