Multivessel coronary stenting versus bypass surgery in patients with multivessel coronary artery disease and normal left ventricular function

Immediate and 2-year long-term follow-up

Sang Wook Kim, Myeongki Hong, Cheol Whan Lee, Jae Joong Kim, Seong Wook Park, Seung Jung Park

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Background: Compared with coronary artery bypass surgery (CABG), the clinical benefits of intracoronary stenting have not been established in patients with multivessel coronary lesions. Methods and Results: To compare the clinical outcomes of intracoronary stenting with that of CABG, we reviewed the outcomes of patients with multivessel coronary artery disease from an observational database. Two hundred consecutive patients with multivessel coronary artery disease and normal left ventricular function were evaluated. In 200 patients, multivessel stenting was performed in 100 and CABG was performed in 100. Complete revascularization was achieved in 95% in the CABG group and in 69% in the stent group (P < .05). The duration of total hospital stay and coronary care unit admission was significantly shorter in the stent group (P < .05). The long-term survival was similar between the 2 groups. There were no significant differences of cardiac events between the 2 groups except for the recurrence of angina (19% in stenting vs 8% in CABG, P = .03) and target lesion revascularization (19% vs 2%, P < .01) in the patients with stents. Conclusions: In selected patients with multivessel coronary artery disease and normal left ventricular function, intracoronary stenting may offer an effective alternative to coronary bypass surgery.

Original languageEnglish
Pages (from-to)638-642
Number of pages5
JournalAmerican Heart Journal
Volume139
Issue number4
DOIs
Publication statusPublished - 2000 Jan 1

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Left Ventricular Function
Coronary Artery Disease
Coronary Artery Bypass
Stents
Coronary Care Units
Length of Stay
Databases
Recurrence
Survival

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine

Cite this

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title = "Multivessel coronary stenting versus bypass surgery in patients with multivessel coronary artery disease and normal left ventricular function: Immediate and 2-year long-term follow-up",
abstract = "Background: Compared with coronary artery bypass surgery (CABG), the clinical benefits of intracoronary stenting have not been established in patients with multivessel coronary lesions. Methods and Results: To compare the clinical outcomes of intracoronary stenting with that of CABG, we reviewed the outcomes of patients with multivessel coronary artery disease from an observational database. Two hundred consecutive patients with multivessel coronary artery disease and normal left ventricular function were evaluated. In 200 patients, multivessel stenting was performed in 100 and CABG was performed in 100. Complete revascularization was achieved in 95{\%} in the CABG group and in 69{\%} in the stent group (P < .05). The duration of total hospital stay and coronary care unit admission was significantly shorter in the stent group (P < .05). The long-term survival was similar between the 2 groups. There were no significant differences of cardiac events between the 2 groups except for the recurrence of angina (19{\%} in stenting vs 8{\%} in CABG, P = .03) and target lesion revascularization (19{\%} vs 2{\%}, P < .01) in the patients with stents. Conclusions: In selected patients with multivessel coronary artery disease and normal left ventricular function, intracoronary stenting may offer an effective alternative to coronary bypass surgery.",
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Multivessel coronary stenting versus bypass surgery in patients with multivessel coronary artery disease and normal left ventricular function : Immediate and 2-year long-term follow-up. / Kim, Sang Wook; Hong, Myeongki; Lee, Cheol Whan; Kim, Jae Joong; Park, Seong Wook; Park, Seung Jung.

In: American Heart Journal, Vol. 139, No. 4, 01.01.2000, p. 638-642.

Research output: Contribution to journalArticle

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T1 - Multivessel coronary stenting versus bypass surgery in patients with multivessel coronary artery disease and normal left ventricular function

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AU - Hong, Myeongki

AU - Lee, Cheol Whan

AU - Kim, Jae Joong

AU - Park, Seong Wook

AU - Park, Seung Jung

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N2 - Background: Compared with coronary artery bypass surgery (CABG), the clinical benefits of intracoronary stenting have not been established in patients with multivessel coronary lesions. Methods and Results: To compare the clinical outcomes of intracoronary stenting with that of CABG, we reviewed the outcomes of patients with multivessel coronary artery disease from an observational database. Two hundred consecutive patients with multivessel coronary artery disease and normal left ventricular function were evaluated. In 200 patients, multivessel stenting was performed in 100 and CABG was performed in 100. Complete revascularization was achieved in 95% in the CABG group and in 69% in the stent group (P < .05). The duration of total hospital stay and coronary care unit admission was significantly shorter in the stent group (P < .05). The long-term survival was similar between the 2 groups. There were no significant differences of cardiac events between the 2 groups except for the recurrence of angina (19% in stenting vs 8% in CABG, P = .03) and target lesion revascularization (19% vs 2%, P < .01) in the patients with stents. Conclusions: In selected patients with multivessel coronary artery disease and normal left ventricular function, intracoronary stenting may offer an effective alternative to coronary bypass surgery.

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