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Percutaneous Coronary Intervention versus Coronary Artery Bypass Grafting for Chronic Total Occlusion of Coronary Arteries: A Systematic Review and Meta-Analysis

Medicine and Health

Percutaneous Coronary Intervention versus Coronary Artery Bypass Grafting for Chronic Total Occlusion of Coronary Arteries: A Systematic Review and Meta-Analysis

C. Wang, S. Liu, et al.

This systematic review and meta-analysis conducted by Chenyang Wang, Sheng Liu, Raimov Kamronbek, Siyao Ni, Yunjiu Cheng, Huiyuan Yan, and Ming Zhang reveals compelling insights into the comparison between percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG) for chronic total occlusion of coronary arteries. Notably, PCI is associated with lower all-cause mortality and cardiac death, although it does carry a higher risk of myocardial infarction. Discover the implications of these findings in the pursuit of optimal heart health.

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Playback language: English
Abstract
This systematic review and meta-analysis compares percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG) for chronic total occlusion (CTO) of coronary arteries. Nine studies (8,674 patients) were included, with a mean follow-up of 4.3 years. PCI was associated with lower all-cause mortality and cardiac death compared to CABG. However, PCI showed a higher incidence of myocardial infarction and repeat revascularization. No significant difference in major adverse cardiac events (MACE) was observed between the two groups.
Publisher
Journal of Interventional Cardiology
Published On
Nov 06, 2023
Authors
Chenyang Wang, Sheng Liu, Raimov Kamronbek, Siyao Ni, Yunjiu Cheng, Huiyuan Yan, Ming Zhang
Tags
Percutaneous coronary intervention
Coronary artery bypass grafting
Chronic total occlusion
Myocardial infarction
Meta-analysis
Cardiac death
All-cause mortality
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