ESC Guidelines of Myocardial Revascularization ... - cardioegypt2011

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Evidence Bases For Method of Revasularizationin Stable CAD• Multivessel Disease : >15 RCT• MASS II (611 pt. FU 5Y) compared OMT Vs PCI Vs CABG ;- End point ( mortality, MI, or angina requiring revascularization)was lower in PCI Vs OMT & lower in CABG Vs PCI(p< .003)• SYNTAX : (RCT 1800 Pts & Registery 1077 Pts)• Compared PCI vs CABGE in severe CAD including LM &/ or3-VD• At 1 st & 2 nd year results indicated that CABG remainsthe standard of care for patients with 3-V or LM CADR&M Solutionswww.rmsolutions.net
Evidence Bases For Method of Revasularizationin Stable CAD• SYNTAX• However PCI was found equal or even superior for lowerseverity of LM after 2Y results• In subgroup analysis of SYNTAX after 1Y CABG is favoredfor prevention of repeat revascularization but athigher risk of cerebrovascular accidents• It provides a score terciles after the 1 st year resultsaccording to the anatomical complexity of the coronarylesions & this score helps in determining the method ofrevascularizationR&M Solutionswww.rmsolutions.net
Page 4 and 5: I. Revascularization in Stable CADR
Page 8 and 9: Definition of the Coronary Tree1-3E
Page 10 and 11: Evidence Bases For Method of Revasu
Page 12 and 13: R&M Solutionswww.rmsolutions.net
Page 14 and 15: I. Guidelines For Revascularization
Page 18 and 19: II. Revascularization in Acute Coro
Page 20 and 21: IIa. Revascularization in NSTEMI (A
Page 24 and 25: II. Revascularization in AcuteCoron
Page 26 and 27: IIb. Revascularization of STEMIIII.
Page 28 and 29: IIb.Guidelines for Revascularizatio
Page 30 and 31: IIb.Guidelines For Revascularizatio
Page 32 and 33: II. Revascularization in AcuteCoron
Page 34 and 35: IIc. Guidelines For Revascularizati
Page 36 and 37: Conclusion I• In Stable multi-V C
Page 38 and 39: Conclusion III• Revascularization

ESC Guidelines of Myocardial Revascularization ... - cardioegypt2011

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