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FFR-Guided PCI Not Noninferior to CABG in Three-Vessel CAD

Findings not consistent with prespecified noninferiority of fractional flow reserve-guided percutaneous coronary intervention

Women Have More Depression With Peripheral Artery Disease

Women Less Likely to Undergo Guideline-Concordant CABG

Women have lower odds of receiving LIMA graft to the LAD artery, undergoing complete vascularization, receiving multi-arterial grafting

Between 2003 and 2016

2003 to 2016 Saw Changes in Characteristics of PCI, CABG Patients

Risk-adjusted mortality decreased significantly after CABG but not after PCI across all clinical indications
Five-year rates of a composite outcome of death

PCI, CABG for Left Main CAD Have Similar Five-Year Outcomes

Findings reported for composite outcomes for 1,905 patients with left main coronary artery disease
Coronary artery bypass graft surgery may be a better treatment option than percutaneous coronary intervention for most patients with more than one blocked heart artery

Open Heart Surgery Beats Stents for Multivessel Disease

Findings reinforce need for team approach to treatment decisions for heart conditions
There is no difference in the rate of death from any cause at 10 years for patients undergoing coronary artery bypass grafting with bilateral or single internal-thoracic-artery grafting

Death at 10 Years Similar With Bilateral-, Single-Artery CABG

No difference seen in rate of death from any cause at 10 years in intention-to-treat analysis
For patients with diabetes mellitus with multivessel coronary disease

AHA: Lasting Benefit for CABG in Diabetes, Multivessel Disease

Lower all-cause mortality in CABG group versus PCI-DES group after median follow-up of 7.5 years
Mandatory reporting of cardiac surgery outcomes for coronary artery bypass grafting in Massachusetts from 2002 to 2014 was associated with improved outcomes

Improved Outcomes With Public Reporting of CABG Data

Decrease in observed and expected mortality rates, risk factor rates from 2002 to 2014 in Massachusetts
For patients post coronary artery bypass graft surgery

Lower Thromboembolic Risk With New A-Fib After CABG Versus NVAF

Thromboembolic risk lower for postoperative atrial fibrillation s/p CABG versus nonvalvular a-fib
Clinical practice guidelines for anticoagulation therapy for cardiopulmonary bypass have been developed and were published in the February issue of the Annals of Thoracic Surgery.

Anticoagulation Guidance Issued for Cardiopulmonary Bypass

Recommendations for heparin dosing and monitoring, contraindications and alternatives, reversal