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Five-year outcomes after PCI or CABG for left main coronary disease

New England Journal of Medicine Nov 11, 2019

Stone GW, Kappetein P, Sabik JF, et al. - Researchers examined the long-term outcomes after percutaneous coronary intervention (PCI) with contemporary drug-eluting stents, vs coronary-artery bypass grafting (CABG), in patients with left main coronary artery disease. Either PCI with fluoropolymer-based cobalt–chromium everolimus-eluting stents (PCI group, 948 patients) or CABG (CABG group, 957 patients) was performed on 1,905 patients with left main coronary artery disease of low or intermediate anatomical complexity (according to assessment at the participating centers) to undergo. Outcomes suggest that PCI and CABG lead to similar outcomes with respect to the rate of the composite outcome of death, stroke, or myocardial infarction at 5 years in these patients.
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