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Peter K. Smith, MD, Robert M. Califf, MD, Robert H

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Presentation on theme: "Peter K. Smith, MD, Robert M. Califf, MD, Robert H"— Presentation transcript:

1 Selection of Surgical or Percutaneous Coronary Intervention Provides Differential Longevity Benefit 
Peter K. Smith, MD, Robert M. Califf, MD, Robert H. Tuttle, MSPH, Linda K. Shaw, MHS, Kerry L. Lee, PhD, Elizabeth R. Delong, PhD, R. Eric Lilly, MD, Michael H. Sketch, MD, Eric D. Peterson, MD, Robert H. Jones, MD  The Annals of Thoracic Surgery  Volume 82, Issue 4, Pages (October 2006) DOI: /j.athoracsur Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Initial treatment selection according to coronary artery disease severity and era. Black bars = medical therapy; white bars = percutaneous intervention; triangles = coronary artery bypass grafting. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Cumulative proportion of treatment crossovers across study period. (CABG = coronary artery bypass grafting; MED = medical therapy; PCI = percutaneous intervention.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Risk of all-cause death. Solid line = medical therapy; varied length dashed line = percutaneous intervention; dashed line = coronary artery bypass grafting. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 Adjusted survival rates according to initial treatment strategy. (CABG = coronary artery bypass grafting; MED = medical therapy; PCI = percutaneous intervention.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

6 Fig 5 Impact of coronary artery disease (CAD) severity on adjusted survival: revascularization versus medical therapy (MED). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

7 Fig 6 Adjusted survival differences versus initial treatment selection (1986–2000). Degree of coronary artery disease: black bar = low severity; gray bar = intermediate severity; white bar = high severity; *p < 0.05. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

8 Fig 7 Adjusted survival differences for coronary artery bypass grafting (CABG) versus percutaneous intervention (PCI) according to era of initial treatment. (CAD = coronary artery disease.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions


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