Unprotected left main disease requires a personalized approach, data show

08/9/2013 | Cardiology Today's Intervention magazine

PCI and bypass yielded similar all-cause mortality, nonfatal MI and major adverse cardiac and cerebrovascular events in unprotected left main CAD patients ages 70 and older, according to a meta-analysis published in the American Journal of Cardiology. However, bypass was associated with a higher risk of stroke in a subset of patients while PCI patients in that group were more likely to need repeat revascularization, suggesting a personalized approach is warranted. "The increased risk of early stroke in older patients undergoing CABG should also be taken seriously, as it may severely impact the quality of life in these elderly patients," said researcher Dr. Mahboob Alam.

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