Alfredo Rodríguez

37 Pages·2016·3.48 MB·English

Simposio FAC-CACI 2016
Congreso Nacional de Cardiologia- Federacion
Argentina de Cardiologia(FAC)

Cordoba, 23 de Junio 2016
VII
“
Alfredo E Rodriguez, MD, PhD, FACC, FSCAI,IAGS
Fundador & Director
Centro de Estudios en Cardiología Intervencionista (CECI)
Jefe de Cardiología Intervencionista
Sanatorio Otamendi /Las Lomas
Editor en Jefe Revista RACI
Director Asociado TCT 2015/2017 (CRF)
DECLARO NO TENER CONFLICTOS DE INTERÉS
Long-Term Safety and Efficacy of Percutaneous Coronary Intervention
With Stenting and Coronary Artery Bypass Surgery for Multivessel
Coronary Artery Disease
A Meta-Analysis With 5-Year Patient-Level Data From the ARTS, ERACI-II,
MASS-II, and SoS Trials
Joost Daemen, Eric Boersma, Marcus Flather, Jean Booth, Rod Stables, Alfredo E Rodriguez,
Gaston Rodriguez-Granillo, Whady A. Hueb, Pedro A. Lemos, Patrick W. Serruys,
Freedom From Death (A) and from
Death and Myocardial Infarction (B)
Daemen et al. Circulation. 2008;118:1146-1154
HRs for each trial individually and the pooled estimate for all trials
(corrected for between-trial outcome) for the end points of all-cause
mortality (A) and all-cause death, stroke, and MI (B)
Daemen et al. Circulation. 2008;118:1146-1154

PRIMARY OUTCOME – DEATH / STROKE / MI
PCI/DES
30 CABG

% Logrank P=0.005

,
I
M
PCI/DES
/
e
20
k
o
r
t
S
CABG
/
h
t
a
10
e
D
5-Year Event Rates: 26.6% vs. 18.7%
0
0 1 2 3 4 5 6
Years post-randomization
PCI/DES N 953 848 788 625 416 219 40
CABG N s943 814 758 613 422 221 44
Farkouh et al. N Engl J Med 2012;367:2375-84.

The SYNTAX lesion score is
calculated by grading 11 types of
lesions by answering sequential
interactive questions
YES: Non Guided
-Intermediate (50 to 69%) or
Severe Stenosis (≥ 70%) with RD ≥
1.5 mm)

Goal
Complete Revascularization
Sianos G, et al. EuroIntervention. 2005 Aug;1(2):219-27.