Clinical Trends for December 2017

Ryan Syrek, MA


December 22, 2017

Clinical Trend of the Week (December 2-8): CABG vs PCI

New information regarding a comparison between procedures designed to help those with heart conditions resulted in this week's top search term. Outcomes from the EXCEL trial revealed similar quality-of-life outcomes in patients with unprotected left main coronary artery disease treated with coronary artery bypass grafting (CABG) or percutaneous coronary intervention (PCI) using everolimus-eluting stents. In unpacking the findings, Dr John Mandrola suggested that although both CABG and PCI provided quality-of-life improvement through 3 years of follow-up, PCI was superior at 1 month; however, dyspnea, physical functioning, depression, and angina frequency were similar at 3 years. Dr Mandrola and others suggest that not only do these findings allow doctors to be more informed regarding treatment options, but they also allow patients to have more of a choice.

For more information on the treatment of coronary artery disease, read here.


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