Stents vs CABG for LM disease

By  |  April 10, 2011 | 

In this trial of patients with left main (LM) disease, they were randomized to CABG or percutaneous drug eluting stenting. At 2 years, the primary endpoint (death from any cause, myocardial infarction, stroke, or ischemia-driven target-vessel revascularization) occurred more often in the PCI group, but it was statistically non-inferior (12% vs 8%). Subsequent ischemia-driven revascularization also occurred more often in the PCI group (9% vs 4%). PCI is reasonable for LM disease, but the authors note the event rates overall were low, and the confidence intervals were wide, making firm conclusions difficult (abstract)

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About the Author: Danielle Scheurer

Danielle Scheurer
Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.

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