Off-Pump Coronary Artery Bypass Surgery Versus Percutaneous Coronary Intervention: A Meta-Analysis of Randomized and Nonrandomized Studies

被引:16
作者
Edelman, J. James
Yan, Tristan D.
Padang, Ratnasari
Bannon, Paul G.
Vallely, Michael P. [1 ]
机构
[1] Univ Sydney, Royal Prince Alfred Hosp, Cardiothorac Surg Unit, Baird Inst,Fac Med, Newtown, NSW 2042, Australia
关键词
DRUG-ELUTING STENTS; HIGH-GRADE STENOSIS; ON-PUMP; BEATING HEART; CARDIOPULMONARY BYPASS; GRAFT PATENCY; FOLLOW-UP; REVASCULARIZATION; ANGIOPLASTY; MORBIDITY;
D O I
10.1016/j.athoracsur.2010.04.037
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We performed a meta-analysis of all studies comparing off-pump coronary artery bypass graft surgery (OPCABG) and percutaneous coronary intervention (PCI) for patients with coronary artery disease. Ten studies were included in the meta-analysis and 4,821 patients were compared, of whom 3,450 patients underwent PCI and 1,371 patients underwent OPCABG. The rates of stroke, myocardial infarction, cardiac mortality, and all-cause mortality were similar. The 12-month rate of major adverse cardiac or cerebrovascular events and need for repeat revascularization was significantly lower in the OPCABG group when compared with the PCI group. (Ann Thorac Surg 2010; 90:1384-90) (C) 2010 by The Society of Thoracic Surgeons
引用
收藏
页码:1384 / 1390
页数:7
相关论文
共 33 条
  • [1] The present status of off-pump coronary artery bypass grafting
    Abu-Omar, Yasir
    Taggart, David P.
    [J]. EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, 2009, 36 (02) : 312 - 321
  • [2] Early and midterm outcome after off-pump and on-pump surgery in Beating Heart Against Cardioplegic Arrest Studies (BHACAS 1 and 2): a pooled analysis of two randomised controlled trials
    Angelini, GD
    Taylor, FC
    Reeves, BC
    Ascione, R
    [J]. LANCET, 2002, 359 (9313) : 1194 - 1199
  • [3] Effects of on-and off-pump coronary artery surgery on graft patency, survival, and health-related quality of life: Long-term follow-up of 2 randomized controlled trials
    Angelini, Gianni D.
    Culliford, Lucy
    Smith, David K.
    Hamilton, Mark C. K.
    Murphy, Gavin J.
    Ascione, Raimondo
    Baumbach, Andreas
    Reeves, Barnaby C.
    [J]. JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2009, 137 (02) : 295 - 303
  • [4] Brereton RJL, 2009, NEW ENGL J MED, V360, P2673
  • [5] Impact of aortic manipulation on incidence of cerebrovascular accidents after surgical myocardial revascularization
    Calafiore, AM
    Di Mauro, M
    Teodori, G
    Di Giammarco, G
    Cirmeni, S
    Contini, M
    Iacò, AL
    Pano, M
    [J]. ANNALS OF THORACIC SURGERY, 2002, 73 (05) : 1387 - 1393
  • [6] Caplan LR, 2010, NEW ENGL J MED, V362, P852
  • [7] Does off-pump coronary artery bypass reduce mortality, morbidity, and resource utilization when compared with conventional coronary artery bypass? A meta-analysis of randomized trials
    Cheng, DC
    Bainbridge, D
    Martin, JE
    Novick, RJ
    [J]. ANESTHESIOLOGY, 2005, 102 (01) : 188 - 203
  • [8] Cisowski M, 2002, ANN THORAC SURG, V74, pS1334
  • [9] Comparison of stenting with minimally invasive bypass surgery for stenosis of the left anterior descending coronary artery
    Diegeler, A
    Thiele, H
    Falk, V
    Hambrecht, R
    Spyrantis, N
    Sick, P
    Diederich, KW
    Mohr, FW
    Schuler, G
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 2002, 347 (08) : 561 - 566
  • [10] Comparison of late (four years) functional health status between percutaneous transluminal angioplasty intervention and off-pump left internal mammary artery bypass grafting for isolated high-grade narrowing of the proximal left anterior descending coronary artery
    Drenth, DJ
    Veeger, NJGM
    Middel, B
    Zijlstra, F
    Boonstra, PW
    [J]. AMERICAN JOURNAL OF CARDIOLOGY, 2004, 94 (11) : 1414 - 1417