3 Jahre nach SYNTAX - Stent oder Skalpell? Die Sicht des Kardiochirurgen
Standard
3 Jahre nach SYNTAX - Stent oder Skalpell? Die Sicht des Kardiochirurgen. / Conradi, Lenard; Reichenspurner, Hermann.
In: Clinical research in cardiology supplements, Vol. 6, No. SUPPL.1, 2011, p. 43-48.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
Harvard
APA
Vancouver
Bibtex
}
RIS
TY - JOUR
T1 - 3 Jahre nach SYNTAX - Stent oder Skalpell? Die Sicht des Kardiochirurgen
AU - Conradi, Lenard
AU - Reichenspurner, Hermann
PY - 2011
Y1 - 2011
N2 - Coronary artery bypass grafting (CABG) is the standard of care for patients with three-vessel or left main coronary artery disease. However, clinical practice has proven to differ substantially with even the most complex coronary lesions being targeted by percutaneous coronary intervention (PCI) today. An abundancy of both large registries and randomized clinical trials has demonstrated superiority of surgery over PCI in advanced coronary artery disease. Recently, these results have been confirmed by the landmark SYNTAX trial where CABG was found to be superior to PCI for three-vessel and/or left main coronary artery disease regarding repeat revascularization, rate of myocardial infarction, and cardiac mortality at the latest follow-up of 3 years. On the other hand, PCI proved to be a viable alternative for less complex forms of left main disease. In conclusion, patients with three-vessel and/or left main coronary artery disease should be discussed in an interdisciplinary heart team consisting of cardiologists and cardiac surgeons within a heart center. Final decision making should be a formal process as recommended in the recently updated guidelines on myocardial revascularization by the European Society of Cardiology.
AB - Coronary artery bypass grafting (CABG) is the standard of care for patients with three-vessel or left main coronary artery disease. However, clinical practice has proven to differ substantially with even the most complex coronary lesions being targeted by percutaneous coronary intervention (PCI) today. An abundancy of both large registries and randomized clinical trials has demonstrated superiority of surgery over PCI in advanced coronary artery disease. Recently, these results have been confirmed by the landmark SYNTAX trial where CABG was found to be superior to PCI for three-vessel and/or left main coronary artery disease regarding repeat revascularization, rate of myocardial infarction, and cardiac mortality at the latest follow-up of 3 years. On the other hand, PCI proved to be a viable alternative for less complex forms of left main disease. In conclusion, patients with three-vessel and/or left main coronary artery disease should be discussed in an interdisciplinary heart team consisting of cardiologists and cardiac surgeons within a heart center. Final decision making should be a formal process as recommended in the recently updated guidelines on myocardial revascularization by the European Society of Cardiology.
KW - Coronary surgery
KW - Heart Team
KW - Left main disease
KW - Multi-vessel coronary artery disease
KW - PCI
UR - http://www.scopus.com/inward/record.url?scp=84872024477&partnerID=8YFLogxK
U2 - 10.1007/s11789-011-0023-5
DO - 10.1007/s11789-011-0023-5
M3 - SCORING: Zeitschriftenaufsatz
C2 - 22528177
AN - SCOPUS:84872024477
VL - 6
SP - 43
EP - 48
JO - Clinical research in cardiology supplements
JF - Clinical research in cardiology supplements
SN - 1861-0706
IS - SUPPL.1
ER -