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A surgical revascularization strategy that uses multiple arterial coronary artery bypass grafts (MA-CABG) in patients with multivessel coronary artery disease results in lower mortality and less need for repeat revascularization compared with PCI with bare-metal stents or drug-eluting stents (DES), according to the results of a new study.

Overall, PCI with a bare-metal stent was associated with significantly worse survival compared with patients undergoing CABG, including patients treated with a single arterial bypass graft (SA-CABG) and those treated with multiple arterial grafts. In a comparison between MA-CABG–treated patients and those treated with a DES, 86.3% of PCI-treated patients were alive at 5 years vs 95.6% of patients treated with MA-CABG (P<0.001). At 9 years, 82.8% of PCI patients treated with a DES were alive compared with 89.8% of patients who underwent MA-CABG (P<0.001).The report was published in the Journal of the American College of Cardiology.

http://www.medscape.com/viewarticle/851486