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Impact of chronic obstructive pulmonary disease on prognosis after percutaneous coronary intervention and bypass surgery for left main coronary artery disease: an analysis from the EXCEL trial
Author(s) -
Xin Huang,
Björn Redfors,
Shmuel Chen,
Yangbo Liu,
Ori BenYehuda,
John D. Puskas,
David E. Kandzari,
Béla Merkely,
Ferenc Horkay,
Ad J. van Boven,
Piet W. Boonstra,
Joseph F. Sabik,
Patrick W. Serruys,
A. Pieter Kappetein,
Gregg W. Stone
Publication year - 2018
Publication title -
european journal of cardio-thoracic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.303
H-Index - 133
eISSN - 1873-734X
pISSN - 1010-7940
DOI - 10.1093/ejcts/ezy438
Subject(s) - medicine , copd , percutaneous coronary intervention , conventional pci , cardiology , myocardial infarction , hazard ratio , revascularization , stroke (engine) , coronary artery disease , coronary artery bypass surgery , clinical endpoint , randomized controlled trial , artery , surgery , confidence interval , mechanical engineering , engineering
Percutaneous coronary intervention (PCI) is often favoured over coronary artery bypass grafting (CABG) surgery for revascularization in patients with chronic obstructive pulmonary disease (COPD). We studied whether COPD affected clinical outcomes according to revascularization in the Evaluation of XIENCE Versus Coronary Artery Bypass Surgery for Effectiveness of Left Main Revascularization (EXCEL) trial, in which PCI with everolimus-eluting stents was non-inferior to CABG for the treatment of patients with left main coronary artery disease and low or intermediate SYNTAX scores.

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