title: Cardiac surgery versus stenting: what is better for the patient?
abstract: Patterns of myocardial revascularization have changed significantly over the past decade. There has been a relative decrease of coronary artery bypass grafting (CABG) compared with percutaneous coronary intervention (PCI) and some patients are undergoing PCI for coronary lesions traditionally reserved for CABG. The mid- to long-term results of several trials comparing PCI with CABG have recently been published. For three-vessel disease, CABG is superior to PCI, with lower rates of major adverse cardiac events. PCI may be equivalent to CABG for three-vessel disease in the lowest disease complexity tercile (SYNTAX score <22; ∼20% of patients). This review focuses on the most recent evidence for myocardial revascularization in patients with multi-vessel and left main coronary artery disease.
authors.affiliation: Cardiothoracic Surgical Unit, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia. jjbedelman@gmail.com
authors.forename: J James B
authors.initials: JJ
authors.lastname: Edelman
authors.forename: Michael K
authors.initials: MK
authors.lastname: Wilson
authors.forename: Paul G
authors.initials: PG
authors.lastname: Bannon
authors.forename: Michael P
authors.initials: MP
authors.lastname: Vallely
mesh_terms: D001026:Coronary Artery Bypass; D003324:Coronary Artery Disease / Q000601:surgery*; D006801:Humans; D062645:Percutaneous Coronary Intervention; D015607:Stents