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ESC Guidelines of Myocardial Revascularization ... - cardioegypt2011

ESC Guidelines of Myocardial Revascularization ... - cardioegypt2011

Evidence Bases For

Evidence Bases For Method of Revasularizationin Stable CAD• Multivessel Disease : >15 RCT• MASS II (611 pt. FU 5Y) compared OMT Vs PCI Vs CABG ;- End point ( mortality, MI, or angina requiring revascularization)was lower in PCI Vs OMT & lower in CABG Vs PCI(p< .003)• SYNTAX : (RCT 1800 Pts & Registery 1077 Pts)• Compared PCI vs CABGE in severe CAD including LM &/ or3-VD• At 1 st & 2 nd year results indicated that CABG remainsthe standard of care for patients with 3-V or LM CADR&M Solutionswww.rmsolutions.net

Evidence Bases For Method of Revasularizationin Stable CAD• SYNTAX• However PCI was found equal or even superior for lowerseverity of LM after 2Y results• In subgroup analysis of SYNTAX after 1Y CABG is favoredfor prevention of repeat revascularization but athigher risk of cerebrovascular accidents• It provides a score terciles after the 1 st year resultsaccording to the anatomical complexity of the coronarylesions & this score helps in determining the method ofrevascularizationR&M Solutionswww.rmsolutions.net

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