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Submitted: 20 March 2017 Modified: 22 March 2017
HERDIN Record #: NCR-PHC-17032014561749

Percutaneous Coronary Intervention vesrus Coronary Artery Bypass Surgery in patients with multi-vessel disease: clinical and economic outcomes- the Philippine Heart Center experience 2000-2002.

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Background: Recent randomized controlled trials have shown that percutaneous coronary interventions (PCI) with stenting has similar mortality and myocardial infarction rates with coronary artery bypass surgery (CABG) in the management of multivessel disease. The overall cost on these revascularization strategies in our local setting is uncertain.


Materials and Methods: This is a retrospective, matched cohort study comparing the in-hospital clinical and economic outcomes of multivessel stenting  and bypass surgery. One hundred eighty (180) patients who underwent stenting of at least 2 major coronary arteries at our institution were included. The CABG group consisted of 108 patient who underwent bypass surgery matched for at least 2 of 3 characteristics, namely, age, sex, and presence of diabetes mellitus.


Results: There were no significant differences noted between the stent and CABG group f mortality rates (1.9 vs. 1.9%), development of MI (0.9% vs. 1.9%), and renal failure (3.7% vs. 3.7%). Patients in the CABG group had significantly longer total 12.4 vs. 6.8 days) and ICU (6.4 vs. 1.8 days lengths of stay than those in the PCI group (p<0.001). The calculated total hospital cost were significantly higher for the CABG group compared to the PCI group (P251, 746.00 vs. P240,657.29, <.001)


Conclusion: Multivessel stenting and CABG have comparable risks of n-hospital deaths and myocardial infarction. Multivessel stenting was significantly less costly compared to CABG and results to shorter hospital stay faster recovery and better quality life. 

Publication Type
Journal
Publication Sub Type
Journal Article, Original
Title
Philippine Heart Center Journal
Frequency
Annual
Publication Date
January-December 2003
Volume
10
Page(s)
34-38
LocationLocation CodeAvailable FormatAvailability
Philippine Heart Center Medical Library Fulltext Print Format

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