Off-pump coronary artery bypass surgery versus percutaneous coronary intervention: a meta-analysis of randomized and nonrandomized studies

J James Edelman; Tristan D Yan; Ratnasari Padang; Paul G Bannon; Michael P Vallely

doi:10.1016/j.athoracsur.2010.04.037

Off-pump coronary artery bypass surgery versus percutaneous coronary intervention: a meta-analysis of randomized and nonrandomized studies

Ann Thorac Surg. 2010 Oct;90(4):1384-90. doi: 10.1016/j.athoracsur.2010.04.037.

Authors

J James Edelman¹, Tristan D Yan, Ratnasari Padang, Paul G Bannon, Michael P Vallely

Affiliation

¹ Cardiothoracic Surgical Unit, Royal Prince Alfred Hospital, Baird Institute, Faculty of Medicine, University of Sydney, Sydney, Australia.

PMID: 20868861
DOI: 10.1016/j.athoracsur.2010.04.037

Abstract

We performed a meta-analysis of all studies comparing off-pump coronary artery bypass graft surgery (OPCABG) and percutaneous coronary intervention (PCI) for patients with coronary artery disease. Ten studies were included in the meta-analysis and 4,821 patients were compared, of whom 3,450 patients underwent PCI and 1,371 patients underwent OPCABG. The rates of stroke, myocardial infarction, cardiac mortality, and all-cause mortality were similar. The 12-month rate of major adverse cardiac or cerebrovascular events and need for repeat revascularization was significantly lower in the OPCABG group when compared with the PCI group.

Publication types

Comparative Study
Meta-Analysis

MeSH terms

Angioplasty, Balloon, Coronary*
Coronary Artery Bypass, Off-Pump*
Coronary Artery Disease / surgery
Coronary Artery Disease / therapy*
Humans
Randomized Controlled Trials as Topic