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Comparison of long-term outcome of off-pump coronary artery bypass grafting versus drug-eluting stents in triple-vessel coronary artery disease

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dc.contributor.author홍순창-
dc.contributor.author송석원-
dc.contributor.author유경종-
dc.contributor.author윤영남-
dc.contributor.author이기종-
dc.date.accessioned2014-12-19T16:22:34Z-
dc.date.available2014-12-19T16:22:34Z-
dc.date.issued2012-
dc.identifier.issn0002-9149-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/89409-
dc.description.abstractAfter the introduction of drug-eluting stents (DESs), percutaneous coronary intervention with DESs has challenged coronary artery bypass grafting as the gold standard for the treatment of 3-vessel coronary artery disease. The purpose of this study was to compare the long-term clinical results between percutaneous coronary intervention with DESs and off-pump coronary artery bypass grafting (OPCAB) in 3-vessel coronary artery disease. Two hundred ninety propensity-score matched patients with 3-vessel coronary artery disease treated by DESs or OPCAB were included. Mean follow-up duration was 58.8 ± 11.5 months (2 to 73) and follow-up rate was 97.9%. Five-year survival rates were 94.8 ± 2.1% in the DES group and 96.5 ± 1.5% in the OPCAB group (p = 0.658). Five-year rates of freedom from major adverse cardiac and cerebrovascular event were 71.6 ± 4.1% in the DES group and 89.6 ± 2.5% in the OPCAB group (p < 0.001). Freedom from nonfatal myocardial infarction and target vessel revascularization rates were the determining factors between the 2 groups (p = 0.018 and p < 0.001, respectively). The OPCAB group showed better clinical outcomes compared to the DES group in 3-vessel coronary artery disease after 5-year follow-up. Freedom from major adverse cardiac and cerebrovascular event rate was significantly higher in the OPCAB group mainly because of the lower incidence of target vessel revascularization and nonfatal myocardial infarction. Longer follow-up with randomization will clarify our present conclusions.-
dc.description.statementOfResponsibilityopen-
dc.relation.isPartOfAMERICAN JOURNAL OF CARDIOLOGY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHCoronary Angiography-
dc.subject.MESHCoronary Artery Bypass, Off-Pump/methods*-
dc.subject.MESHCoronary Artery Disease/diagnostic imaging-
dc.subject.MESHCoronary Artery Disease/mortality-
dc.subject.MESHCoronary Artery Disease/surgery*-
dc.subject.MESHDrug-Eluting Stents*-
dc.subject.MESHElectrocardiography-
dc.subject.MESHFemale-
dc.subject.MESHFollow-Up Studies-
dc.subject.MESHHospital Mortality/trends-
dc.subject.MESHHumans-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHRepublic of Korea/epidemiology-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHRisk Factors-
dc.subject.MESHSeverity of Illness Index-
dc.subject.MESHSurvival Rate/trends-
dc.subject.MESHTime Factors-
dc.titleComparison of long-term outcome of off-pump coronary artery bypass grafting versus drug-eluting stents in triple-vessel coronary artery disease-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Thoracic & Cardiovascular Surgery (흉부외과학)-
dc.contributor.googleauthorGijong Yi-
dc.contributor.googleauthorYoung-Nam Youn-
dc.contributor.googleauthorSoonchang Hong-
dc.contributor.googleauthorSuk-Won Song-
dc.contributor.googleauthorKyung-Jong Yoo-
dc.identifier.doi22177004-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA04412-
dc.contributor.localIdA02028-
dc.contributor.localIdA02453-
dc.contributor.localIdA02576-
dc.contributor.localIdA02697-
dc.relation.journalcodeJ00071-
dc.identifier.eissn1879-1913-
dc.identifier.pmid22177004-
dc.identifier.urlhttp://www.sciencedirect.com/science/article/pii/S0002914911033790-
dc.subject.keywordCoronary Angiography-
dc.subject.keywordCoronary Artery Bypass, Off-Pump/methods*-
dc.subject.keywordCoronary Artery Disease/diagnostic imaging-
dc.subject.keywordCoronary Artery Disease/mortality-
dc.subject.keywordCoronary Artery Disease/surgery*-
dc.subject.keywordDrug-Eluting Stents*-
dc.subject.keywordElectrocardiography-
dc.subject.keywordFemale-
dc.subject.keywordFollow-Up Studies-
dc.subject.keywordHospital Mortality/trends-
dc.subject.keywordHumans-
dc.subject.keywordMale-
dc.subject.keywordMiddle Aged-
dc.subject.keywordRepublic of Korea/epidemiology-
dc.subject.keywordRetrospective Studies-
dc.subject.keywordRisk Factors-
dc.subject.keywordSeverity of Illness Index-
dc.subject.keywordSurvival Rate/trends-
dc.subject.keywordTime Factors-
dc.contributor.alternativeNameHong, Soon Chang-
dc.contributor.alternativeNameSong, Suk Won-
dc.contributor.alternativeNameYoo, Kyung Jong-
dc.contributor.alternativeNameYoun, Young Nam-
dc.contributor.alternativeNameYi, Gi Jong-
dc.contributor.affiliatedAuthorHong, Soon Chang-
dc.contributor.affiliatedAuthorSong, Suk Won-
dc.contributor.affiliatedAuthorYoo, Kyung Jong-
dc.contributor.affiliatedAuthorYoun, Young Nam-
dc.contributor.affiliatedAuthorYi, Gi Jong-
dc.citation.volume109-
dc.citation.number6-
dc.citation.startPage819-
dc.citation.endPage823-
dc.identifier.bibliographicCitationAMERICAN JOURNAL OF CARDIOLOGY, Vol.109(6) : 819-823, 2012-
dc.identifier.rimsid34619-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers

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