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Whether treated with CABG or PCI, heavily calcified lesions tied to higher mortality


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Journal
JACC: Cardiovascular Interventions
Reuters Health - 25/01/2022 - The presence of at least one heavily calcified lesion (HCL) in patients treated for three-vessel and/or left-main-coronary-artery disease is an independent predictor of 10-year mortality, according to a new study. The findings also show long-term mortality rates were similar in patients with HCLs regardless of whether revascularization was achieved through coronary-artery-bypass grafting (CABG) or percutaneous coronary intervention (PCI). In patients without HCLs, CABG was associated with lower mortality risk. Not much data is available on very-long-term outcomes of revascularization in patients with HCLs, Dr. Patrick Serruys of the National University of Ireland, in Galway, and colleagues note in JACC: Cardiovascular Interventions To investigate, they conducted a post-hoc subgroup analysis of the SYNTAX Extended Survival study, encompassing 1,800 patients who received either PCI with paclitaxel-eluting stents or CABG. The subgro...


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