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J Am Coll Cardiol Intv, 2009; 2:758-764, doi:10.1016/j.jcin.2009.04.018
© 2009 by the American College of Cardiology Foundation
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Does Prior Percutaneous Coronary Intervention Adversely Affect Early and Mid-Term Survival After Coronary Artery Surgery?

Cheng-Hon Yap, MBBS, MS*,§,*, Bryan P. Yan, MBBS*,{dagger}{dagger}, Enoch Akowuah, MD§, Diem T. Dinh, BSc, PhD*, Julian A. Smith, MBBS, MS{dagger},{ddagger}, Gilbert C. Shardey, MBBS{ddagger}, James Tatoulis, MBBS, MD§, Peter D. Skillington, MBBS§, Andrew Newcomb, MBBS#, Morteza Mohajeri, MBBS**, Adrian Pick, MBBS||, Siven Seevanayagam, MBBS, Christopher M. Reid, BA, MSc, PhD*

* Department of Epidemiology and Preventive Medicine, Monash University, Victoria, Australia
{dagger} Department of Surgery, Monash University, Victoria, Australia
{ddagger} Cardiothoracic Surgery Unit, Monash Medical Centre, Victoria, Australia
§ Department of Cardiothoracic Surgery, Royal Melbourne Hospital, Melbourne, Australia
|| Cardiothoracic Surgery Unit, Alfred Hospital, Melbourne, Australia
Cardiothoracic Surgery Unit, Austin Hospital, Melbourne, Australia
# Cardiothoracic Care Centre, St Vincent's Hospital, Melbourne, Australia
** Cardiothoracic Surgery Unit, Geelong Hospital, Victoria, Australia
{dagger}{dagger} Department of Medicine and Therapeutics, Chinese University of Hong Kong, Hong Kong, China


Figure 1
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Figure 1 Unadjusted Survival Post-CABG With and Without Prior PCI

At a mean patient follow-up of 3.3 ± 2.1 years, survival was higher in the PCI group than in the non-PCI group (1 year: 97.3% vs. 96.5%, 3 years: 94.4% vs. 93.2%, and 5 years: 91.1% vs. 87.7%; log-rank test: p = 0.013). CABG = coronary artery bypass graft surgery; PCI = percutaneous coronary intervention.

 

Figure 2
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Figure 2 Adjusted Survival Post-CABG With and Without Prior PCI

After adjusting for patient characteristics, prior PCI was not an independent predictor of mid-term mortality (hazard ratio: 0.94, 95% CI: 0.75 to 1.18, p = 0.62). Abbreviations as in Figure 1.

 




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