Volume 15, Issue 4 pp. 315-320
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Percutaneous Coronary Intervention Versus Coronary Artery Bypass Grafting: Clinical Outcomes in Multivessel Coronary Artery Disease

C. SAMUEL LEDFORD M.D.

C. SAMUEL LEDFORD M.D.

Department of Medicine, Division of Cardiology, William Beaumont Hospital, Royal Oak, Michigan

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CINDY L. GRINES M.D.

Corresponding Author

CINDY L. GRINES M.D.

Department of Medicine, Division of Cardiology, William Beaumont Hospital, Royal Oak, Michigan

Cindy L. Grines, M.D., William Beaumont Hospital, Division of Cardiology, 3601 W. Thirteen Mile Rd., Royal Oak, MI 48073. Fax: (248) 551–8806; [email protected]Search for more papers by this author

Abstract

Revascularization with percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) is superior to medical management in reducing symptoms and prolonging exercise duration in patients with coronary artery disease (CAD). Ten randomized trials have compared the outcomes in percutaneous and surgically treated patients with multivessel CAD. The purpose of this article was to summarize the results of those trials to make recommendations regarding appropriate revascularization strategy.

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