Key result
CABG with LV resection is linked to non-significant survival and LVEF improvements versus PCI or drugs.
Why the study?
The comparative efficacy of CABG combined with left ventricular resection, drug treatment, and PCI for left ventricular aneurysm was analyzed to guide treatment selection.
Does CABG combined with left ventricular resection improve survival and left ventricular function compared to drug treatment or PCI in patients with left ventricular aneurysm?
Population
183 patients with left ventricular aneurysm from Fuwai Hospital
Comparison
CABG with left ventricular resection vs drug treatment vs PCI
Design
Cohort study
Authors
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CABG-resection was associated with higher survival in LVA; leaves open need for RCTs before changing practice.
Cohort (n=183)
No
Does CABG combined with left ventricular resection improve survival and left ventricular function compared to drug treatment or PCI in patients with left ventricular aneurysm?
Surgical resection with CABG may offer numerical improvements in survival and ventricular function over PCI or medical therapy for left ventricular aneurysm, though differences in this cohort were not statistically significant.
Sui et al. (2018) conducted a cohort in left ventricular aneurysm (n=183). CABG combined with left ventricular resection vs. drug treatment or PCI was evaluated on Survival rates, LVEF, and LVEDD. CABG with left ventricular resection was associated with better LVEF, LVEDD, survival, and non-recurrence rates than PCI or drug treatment, though not statistically significant.
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