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《Chinese Journal of Extracorporeal Circulation》 2016-02
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The comparison of mid and long term outcomes of coronary artery bypass grafting versus percutaneous coronary intervention in youg patients with three-vessel disease

Guo Peng-fei;Wang Rong;Xiao Cang-song;Wang Cheng;Shen Lei-lei;Gao Chang-qing;Department of Cardiovascular Surgery,Chinese PLA General Hospital;  
Objective To observe and analyze the outcomes of coronary artery bypass grafting(CABG) and percutaneous coro-nary intervention(PCI) in patients with three-vessel disease aged ≤ 45 years.Methods We assembled 58 patients with three-vesseldisease aged ≤ 45 received Coronary Artery BypassGrafting between January 2000 and January 2015 in our cardiovascular surgery de-partment as the CABG group. meanwhile we matched 58 patients who received Percutaneous Coronary Intervention during the corre-sponding period as PCI group by 1:1 rate. By observing the situations before and after the operation and following up the mid and longterm survival rate, free from MACCE rate, patency rate between two groups. We analyzed the short mid and long term outcomes be-tween two revascularization methods treating young patients with premature coronary heart disease. To evaluate the curative effect of tworevascularization methods.Results The perioperative mortality and incidence of complications were similar(P0.05) between twogroups. There was no statistic difference in mid and long term survival rate of two groups(P0.05). But CABG group has a higher freefrom repeat revascularization rate, patency rate and free from MACCE rate than the PCI group(P0.05).Conclusion Young pa-tients with three-vessel disease, both Coronary Artery Bypass Grafting and Percutaneous Coronary Intervention are safty and effectivemethods. But CABG had a better mid and long term outcomes than PCI.
【CateGory Index】: R654.2
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