CABG Bests PCI for Multivessel CAD

Percutaneous coronary intervention (PCI) remains one of the greatest life-saving advances in modern cardiovascular medicine, particularly for saving lives during an acute myocardial infarction. However, research and debate continues for the preferred treatment—PCI vs. Surgery— in patients with advanced 3-vessel coronary artery disease, especially in patients who are stable and who have good heart function.
 
A study was recently presented at the 59th Annual Meeting of the Society of Thoracic Surgeons (STS) in San Diego, that suggests that coronary artery bypass grafting (CABG) is associated with higher survival rate than percutaneous coronary intervention (PCI) among the patients described above who present with multivessel coronary artery disease.
 
Fortunately, along with the many advances in PCI techniques, there have also been many important advances and treatment options for patients undergoing CABG surgery. Most centers have mortality rates consistently less than 1.5%, along with markedly less pain and morbidity due to endoscopic conduit-harvesting techniques, smaller incisions, and better medications.
 
CABG bests PCI for multivessel CAD

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About The Author

Dr. Raymond Singer

Dr. Singer has been in practice since 1992 and has, to date, performed over 8,351 surgeries. His practice interests include complex valve, coronary and aneurysm surgery, as well as prevention and treatment of lung cancer.

 

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2023 Top Doc

 

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