Life-long clinical outcome after the first myocardial revascularization procedures: 40-year follow-up after coronary artery bypass grafting and percutaneous coronary intervention in Rotterdam
| Autor: | A. Pieter Kappetein, Ron T. van Domburg, Joost Daemen, Ad J.J.C. Bogers, Margreet W A Bekker, Milan Milojevic, Felix Zijlstra, Carina T Domingues, Stuart J. Head, Daniel Thuijs, Peter P de Jaegere |
|---|---|
| Přispěvatelé: | Cardiothoracic Surgery, Cardiology |
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Pulmonary and Respiratory Medicine medicine.medical_specialty Percutaneous medicine.medical_treatment Coronary Artery Disease 030204 cardiovascular system & hematology Revascularization Coronary artery disease Young Adult 03 medical and health sciences Coronary artery bypass surgery Percutaneous Coronary Intervention 0302 clinical medicine Angioplasty Myocardial Revascularization medicine Humans cardiovascular diseases Coronary Artery Bypass Aged Netherlands Aged 80 and over business.industry Percutaneous coronary intervention Middle Aged medicine.disease Surgery Survival Rate Treatment Outcome surgical procedures operative 030228 respiratory system Cohort Conventional PCI Female Cardiology and Cardiovascular Medicine business Follow-Up Studies Forecasting |
| Zdroj: | Interactive CardioVascular and Thoriac Surgery, 28(6), 852-859. Oxford University Press |
| ISSN: | 1569-9285 1569-9293 |
| DOI: | 10.1093/icvts/ivz006 |
| Popis: | OBJECTIVES: Our goal was to evaluate the outcomes of the first patients treated by venous coronary artery bypass grafting (CABG) or percutaneous coronary interventions (PCIs) with balloon angioplasty at a single centre who have reached up to 40 years of life-long follow-up. METHODS: We analysed the outcomes of the first consecutive patients who underwent (venous) CABG (n = 1041) from 1971 to 1980 and PCI (n = 856) with balloon angioplasty between 1980 and 1985. Follow-up was successfully achieved in 98% of patients (median 39 years, range 36–46) who underwent CABG and in 97% (median 33 years, range 32–36) of patients who had PCI. RESULTS: The median age was 53 years in the CABG cohort and 57 years in the PCI cohort. A total of 82% of patients in the CABG group and 37% of those in the PCI group had multivessel coronary artery disease. The cumulative survival rates at 10, 20, 30 and 40 years were 77%, 39%, 14% and 4% after CABG, respectively, and at 10, 20, 30 and 35 years after PCI were 78%, 47%, 21% and 12%, respectively. The estimated life expectancy after CABG was 18 and 17 years after the PCI procedures. Repeat revascularization was performed in 36% and 57% of the patients in the CABG and PCI cohorts, respectively. CONCLUSIONS: This unique life-long follow-up analysis demonstrates that both CABG and PCI were excellent treatment options immediately after their introduction as the standard of care. These procedures were lifesaving, thereby indirectly enabling patients to be treated with newly developed methods and medical therapies during the follow-up years. |
| Databáze: | OpenAIRE |
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