Does prior coronary angioplasty affect outcomes of surgical coronary revascularization? Insights from the STICH trial.

ABSTRACT:

Background

The STICH trial showed superiority of coronary artery bypass plus medical treatment (CABG) over medical treatment alone (MED) in patients with left ventricular ejection fraction (LVEF) ≤35%. In previous publications, percutaneous coronary intervention (PCI) prior to CABG was associated with worse prognosis.

Objectives

The main purpose of this study was to analyse if prior PCI influenced outcomes in STICH.

Methods and results

Patients in the STICH trial (n = 1212), followed for a median time of 9.8 years, were included in the present analyses. In the total population, 156 had a prior PCI (74 and 82, respectively, in the MED and CABG groups). In those with vs. without prior PCI, the adjusted hazard-ratios (aHRs) were 0.92 (95% CI = 0.74-1.15) for all-cause mo

SUBMITTER: Nicolau JC 

PROVIDER: S-EPMC6579621 | biostudies-literature | 2019 Sep

REPOSITORIES: biostudies-literature