Coronary Artery Bypass Graft Surgery Improves Survival Without Increasing the Risk of Stroke in Patients with Ischemic Heart Failure in Comparison to Percutaneous Coronary Intervention: A Meta-Analysis With 54,173 Patients

Autor: Michel Pompeu Barros Oliveira Sá, Álvaro Monteiro Perazzo, Felipe Augusto Santos Saragiotto, Luiz Rafael Pereira Cavalcanti, Antônio Carlos Escorel Almeida Neto, Jéssica Cordeiro Siqueira Campos, Paulo Guilherme Bezerra Braga, Sérgio da Costa Rayol, Roberto Gouvea Silva Diniz, Frederico Browne Correia Araújo Sá, Ricardo Carvalho Lima
Jazyk: angličtina
Předmět:
Zdroj: Brazilian Journal of Cardiovascular Surgery, Vol 34, Iss 4, Pp 396-405
Druh dokumentu: article
ISSN: 1678-9741
DOI: 10.21470/1678-9741-2019-0170
Popis: Abstract Objective: To evaluate whether there is any difference on the results of patients treated with coronary artery bypass grafting (CABG) or percutaneous coronary intervention (PCI) in the setting of ischemic heart failure (HF). Methods: Databases (MEDLINE, Embase, Cochrane Controlled Trials Register [CENTRAL/CCTR], ClinicalTrials.gov, Scientific Electronic Library Online [SciELO], Literatura Latino-americana e do Caribe em Ciências da Saúde [LILACS], and Google Scholar) were searched for studies published until February 2019. Main outcomes of interest were mortality, myocardial infarction, repeat revascularization, and stroke. Results: The search yielded 5,775 studies for inclusion. Of these, 20 articles were analyzed, and their data were extracted. The total number of patients included was 54,173, and those underwent CABG (N=29,075) or PCI (N=25098). The hazard ratios (HRs) for mortality (HR 0.763; 95% confidence interval [CI] 0.678-0.859; P
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