Long-term survival after coronary bypass surgery and percutaneous coronary intervention

ObjectivesTo assess whether there exists a long-term difference in survival after treatment with coronary bypass surgery or percutaneous coronary intervention in patients with coronary disease as judged by all-cause mortality.MethodsRetrospective study from the Feiring Heart Clinic database of survi...

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Published in:Open heart 2016-10, Vol.3 (2), p.e000489-e000489
Main Authors: Mølstad, Per, Moer, Rasmus, Rødevand, Olaf
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Coronary Artery Disease
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description ObjectivesTo assess whether there exists a long-term difference in survival after treatment with coronary bypass surgery or percutaneous coronary intervention in patients with coronary disease as judged by all-cause mortality.MethodsRetrospective study from the Feiring Heart Clinic database of survival in 22 880 patients—15 078 treated with percutaneous coronary intervention and 7802 with bypass surgery followed up to 16 years.ResultsCox regression and propensity score analysis showed no difference in survival for one-vessel and two-vessel disease during the whole study period. In three-vessel disease, however, the analysis revealed a consistent and highly significant survival benefit in the first 8 years with an HR of 0.76 (95% CI 0.69 to 0.84, p
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In three-vessel disease, however, the analysis revealed a consistent and highly significant survival benefit in the first 8 years with an HR of 0.76 (95% CI 0.69 to 0.84, p&lt;0.001) in favour of bypass surgery with similar survival rates in the two treatment strategies after that time period.ConclusionsTreatment strategy did not affect survival in one-vessel and two-vessel disease, but bypass surgery offered an improved survival in the first 8 years in patients with three-vessel disease. These results are consistent with most previous reports and the survival benefit should be taken into account when selecting a strategy for this patient group.</description><identifier>ISSN: 2053-3624</identifier><identifier>ISSN: 2398-595X</identifier><identifier>EISSN: 2053-3624</identifier><identifier>DOI: 10.1136/openhrt-2016-000489</identifier><identifier>PMID: 27843567</identifier><language>eng</language><publisher>England: BMJ Publishing Group LTD</publisher><subject>Coronary Artery Disease</subject><ispartof>Open heart, 2016-10, Vol.3 (2), p.e000489-e000489</ispartof><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing</rights><rights>Copyright: 2016 Published by the BMJ Publishing Group Limited. 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In three-vessel disease, however, the analysis revealed a consistent and highly significant survival benefit in the first 8 years with an HR of 0.76 (95% CI 0.69 to 0.84, p&lt;0.001) in favour of bypass surgery with similar survival rates in the two treatment strategies after that time period.ConclusionsTreatment strategy did not affect survival in one-vessel and two-vessel disease, but bypass surgery offered an improved survival in the first 8 years in patients with three-vessel disease. 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subjects Coronary Artery Disease
title Long-term survival after coronary bypass surgery and percutaneous coronary intervention
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