7. Myocardial revascularisation strategy

5-year outcomes after PCI or CABG for left main disease

EXCEL 5 years
Objective
to report the five-year outcomes of PCI as compared with CABG for treatment of patients with left main disease
Study
international, open-label, multicentre randomised trial
Population
patients with 70% or more stenosis of left main artery or 50% to less than 70% that is hemodynamically significant and eligible for either PCI or CABG (low or intermediate complexity lesions)
Endpoints
composite of all cause death, stroke or MI at 5 years
Conclusion
there was no significant difference in the composite rate of death, stroke or MI at 5 years between PCI and CABG for treatment of low or intermediate complex left main coronary artery disease
Stone et al. N Eng J Med. 2019;381:1820-30
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