Study of mortality and morbidity in patients with PCI vs CABG in cases of multivessel or left main disease in Tishreen University Hospital

Authors

  • Iyas Alkhayer Tishreen University

Abstract

Ischemic heart disease is still the leading cause of death in the world and the optimal management is still disputed between interventional catheterization or surgical treatment in cases of multi vessel disease and left main lesion.

Our study included 150 patients in the Catheter and Cardiac Surgery Department at Tishreen University Hospital who had multiple coronary injuries or left main lesion. 71 of them underwent interventional PCI and 78 of them underwent CABG.

 The results were better in the cardiac catheterization group when compared to the surgery group in terms of the development of cardiac and cerebrovascular accidents (MACCE), where the incidence of cardiac or cerebrovascular accidents in them was 11.3% compared to 18.9% in the group of patients with surgery (p = 0.001). As for mortality, when it was studied separately in both groups, there was no significant statistical difference of 2.2% in the catheterization group, compared to 3.7% in the surgical group (p=0.1).

Thus, we conclude that the traditional indications of CABG are no longer the main determinant in decision-making, and we conclude that the modern generations of cardiac stents are superior to surgery in terms of overall results

Downloads

Published

2022-11-13

How to Cite

1.
الخير ا. Study of mortality and morbidity in patients with PCI vs CABG in cases of multivessel or left main disease in Tishreen University Hospital. Tuj-hlth [Internet]. 2022Nov.13 [cited 2024Dec.21];44(5):79-84. Available from: https://journal.tishreen.edu.sy/index.php/hlthscnc/article/view/13755

Issue

Vol. 44 No. 5 (2022): Tishreen University Journal for Research and Scientific Studies - Health Sciences Series

Section

Articles

License

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

The authors retain the copyright and grant the right to publish in the magazine for the first time with the transfer of the commercial right to Tishreen University Journal for Research and Scientific Studies - Health Sciences Series

 Under a CC BY- NC-SA 04 license that allows others to share the work with of the work's authorship and initial publication in this journal. Authors can use a copy of their articles in their scientific activity, and on their scientific websites, provided that the place of publication is indicted in  Tishreen University Journal for Research and Scientific Studies - Health Sciences Series   .  The Readers have the right to send, print and subscribe to the initial version of the article, and the title of  Tishreen University Journal for Research and Scientific Studies - Health Sciences Series  Publisher

journal uses a CC BY-NC-SA license which mean

You are free to:

  • Adapt — remix, transform, and build upon the material
  •  
  • The licensor cannot revoke these freedoms as long as you follow the license terms.

 

  • Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
  • NonCommercial — You may not use the material for commercial purposes.
  • ShareAlike — If you remix, transform, or build upon the material, you must distribute your contributions under the same license as the original.
  • No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.