Comparison of coronary stenting and bypass grafting in elderly patients with coronary artery disease
QUE Bin
LI Zhi-zhong
ZHANG Jing-mei
WANG Su
TAO Ying
LM Yong-qiang
ZHANG Hong
SUN Tao
ZHAO Zhan-yong
YIN Cheng-qian
LI Zhao
Abstract：Objective To compare the clinical results of percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG) in elderly patient (>75 years) with coronary artery disease. Methods Two hundred and twelve elderl patients were divided respectively into PCI group and CABG group. Clinical, angiographic and revascularization data were collected. The primary endpoint was Major Adverse Cardiovascular and Cerebral Events (MACCE, including death, new-onset myocardial infarction, stroke and repeat revascularization) in-hospital and during follow-ups. Results Compared with CABG group, PCI group had Lower in-hospital MACCE rates (0.9% vs 5.3% ,X2 =18.4, P<0.01) and in-hospital mortality (2.0% vs 7.9%, X2 =4.3, P <0.05). Multivariate Logistic regression analysis indicated that in-hospital MACCE risk in CABG group was higher than PCI group (OR =5.73,95% CI 1.00-32.86, P < 0.05). Follow-up MACCE rates of both groups were not significant (17.2% vs 13.7% ,P =20. 57). Multivariate Cox regression analysis indicated that CABG group had higher follow-up MACCE risk than that of PCI group. Conclusions Compared with CABG,PCI has lower in-hospital and follow-up MACCE rates in elderly patients with coronary artery disease.
Keywords：Coronary stentingCoronary artery bypass graftingAdvanced agePrognosis
Publication Date：2009-01-01
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)
Pages：3( 413-415 )