Key result
PCI is linked to inferior long-term outcomes and mortality versus CABG in LMCAD.
Why the study?
Does PCI improve long-term results for all events, including mortality, compared with CABG in patients with left main coronary artery disease?
Does PCI improve long-term results for all events, including mortality, compared with CABG in patients with left main coronary artery disease?
A Bayesian re-interpretation of RCT data indicates that CABG provides superior long-term outcomes, including survival, compared to PCI for left main coronary artery disease.
Long-term data favor CABG over PCI for left main disease; challenges prior RCT interpretations of equivalence.
Bayesian analysis assisted in RCT data interpretation and specifically suggested, whether based on EXCEL results alone or on the totality of available evidence, that PCI was associated with inferior long-term results for all events, including mortality, compared with CABG for patients with left main coronary artery disease.
No takes yet. Share an insight, caveat, or question.
James M. Brophy (2020) studied this question. PCI was associated with inferior long-term results for all events, including mortality, compared to CABG in patients with left main coronary artery disease.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: