J.Jpn. Surg. Soc.. 93(9): 1002-1005, 1992
Report on the annual meeting
EARLY AND LATE RESULTS OF CORONARY ARTERY BYPASS GRAFTING AND PERCUTANEOUS TRANSLUMINAL CORONARY ANGIOPLASTY
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*) Division of Cardiovascular Surgery, Toranomon Hospital, Tokyo, Japan Katsuo Fuse*), Shigemoto Nakanishi**), Shinichiro Nishiyama**), Takashi Iwase**), Yoshihiro Naruse*), Hiroaki Konishi*), Toshiya Kobayashi*) |
We examined the characteristics and outcomes of the CABG group (799 consecutive patients) and the PTCA group (944 patients) from 1984 to 1991. The proportion of 3-vessel and left main disease in the CABG group was 77% and that of single-vessel in the PTCA group was 92%. The characteristics between 2 groups were distinct. But the results were good respectively. The occurrence of hospital death was similar (1.3% vs 0%). The early graft patency rate in the CABG group was 91% and primary success rate in the PTCA group was 90%. And over a 5-year follow-up the cumulative survival rate of 3-vessel disease undergoing CABG and singlevessel disease patients undergoing PTCA was 96% versus 98%, respectively.
It is concluded that PTCA is suitable for signle-vessle and 2-vessel without totally occluded artery disease patients, whereas CABG for other mutivessel disease patients.
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