Current Treatment Strategy of Patients With Multivessel Disease or Left Main Coronary Artery Disease Indicated for Coronary Artery Bypass Graft Surgery
NCT02410993 · Status: UNKNOWN · Type: OBSERVATIONAL · Enrollment: 2500
Last updated 2018-07-17
Summary
According to 2011 ACCF/AHA guideline and 2014 ESC/EACTS guideline, CABG surgery was recommended for three-vessel coronary artery disease and left main coronary artery disease in the patients with stable ischemic heart disease as class I. 2-VD with proximal left anterior descending artery stenosis was also indicated for CABG surgery as class I recommendation. However, many patients have been recommended for PCI by catheterization laboratory cardiologist; 46% and 93% in the only-CABG candidates and both CABG and PCI candidates, retrospectively, defined by previous ACC/AHA guideline. Although the discordance between real practice in catheterization laboratory and guideline would be adjusted by recently updated guideline. The revascularization strategy for patients with 3-VD/LMD in real practice have been getting toward more PCI and less CABG surgery. In this study, we will identify the rate of CABG candidates who were treated with PCI or medical treatment instead of CABG surgery in different from current guideline. We are also going to compare two treatment strategies CABG surgery vs. PCI with 2nd generation DES regarding clinical outcomes.
Conditions
Interventions
- PROCEDURE
-
CABG surgery
Sponsors & Collaborators
-
Yonsei University
lead OTHER
Eligibility
- Min Age
- 19 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2015-04-30
- Primary Completion
- 2020-03-31
- Completion
- 2020-03-31
Countries
- South Korea
Study Locations
More Related Trials
-
Reconstruction of Diffusely Diseased Left Anterior Descending with Left Internal Mammary Artery On-lay Patch or Saphenous Vein Patch Without Endarterectomy by Opening the Whole Wall of the Diseased Segment(s) Has Less Risk and Fewer Complications Compared to Endarterectomy Technique
NCT06835114 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
LMCA Treatment Outcome
NCT06431516 ·Status: ACTIVE_NOT_RECRUITING
-
Mitral Valve Repair Combined Coronary Artery Bypass Grafting(CABG) Verus CABG Alone on Functional Ischemic Mitral Regurgitation
NCT03525041 ·Status: UNKNOWN ·Phase: NA
-
PCI vs. CABG in the Treatment of Unprotected Left Main Stenosis
NCT01496651 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Comparison of One-stop Hybrid Revascularization Versus Percutaneous Coronary Intervention for the Treatment of Multi-vessel Disease
NCT01035034 ·Status: UNKNOWN ·Phase: NA
-
Multi- Level and Integrated Analysis of Mechanisms Underlying Atrial Dysfunction
NCT02789943 ·Status: UNKNOWN
-
Investigation of a Transcatheter Tricuspid Valved Stent Graft in Patients With Carcinoid Heart Disease
NCT05064514 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Transcatheter Valve Implantation in Patients With Dysfunctional Left and Right Sided Heart Valves
NCT02119442 ·Status: COMPLETED ·Phase: NA
-
Comparing the Effectiveness of a Mitral Valve Repair Procedure in Combination With Coronary Artery Bypass Grafting (CABG) Versus CABG Alone in People With Moderate Ischemic Mitral Regurgitation
NCT00806988 ·Status: COMPLETED ·Phase: NA
-
Observatory of Anticoagulation After Bioprosthetic Aortic Valve Replacement
NCT01293188 ·Status: COMPLETED
-
Effective Management of Calcific Aortic Stenosis in the Elderly
NCT03343314 ·Status: COMPLETED
-
Moderate Mitral Regurgitation in CABG Patients
NCT00613548 ·Status: UNKNOWN ·Phase: NA
-
Long-term Benefit of Aortic Stent-graft in Patients With Distal Aortic Dissection
NCT01354119 ·Status: TERMINATED ·Phase: PHASE4
-
Quantitative Flow Ratio (QFR) Guided Coronary Artery Bypass Grafting for Patients Undergoing Primary Valve Surgery With Concomitant Coronary Artery Disease
NCT03977129 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Optimizing Strategy of Coronary Revascularization in Patients With Multivessel Lesions Combined Heart Failure
NCT02775578 ·Status: UNKNOWN ·Phase: NA
-
Resynchronization Surgery Combined Unified Efficacy
NCT00846001 ·Status: COMPLETED ·Phase: PHASE3
-
Prospective Evaluation for Hybrid Cardiac Procedures
NCT05143671 ·Status: COMPLETED
-
Surgery Versus Fibrinolytic Therapy for Left-sided Prosthetic Heart Valve Thrombosis
NCT01641549 ·Status: UNKNOWN ·Phase: PHASE3
-
Triple-branch Stent Graft Placement and Total-arch Replacement for the Treatment of Acute DeBakey I Aortic Dissection
NCT02622750 ·Status: UNKNOWN ·Phase: EARLY_PHASE1
-
Scanner and Transplant Heart Patients Protocol
NCT01122810 ·Status: COMPLETED ·Phase: NA
-
Retrospective Observational Study of Patients With a Sutureless Aortic Valve Implanted in the Cardiovascular and Thoracic Surgery Department of Dijon CHU
NCT03259945 ·Status: COMPLETED
-
Act on Quality of Life in Patients With aortIc Stenosis
NCT06477042 ·Status: RECRUITING
-
Functional and Quality of Life Improvement Following Transcatheter Heart Valve Implantation
NCT02023060 ·Status: RECRUITING
-
Hybrid Operation in Thoracic Aortic Dissection
NCT01500395 ·Status: UNKNOWN
-
Conservative Versus Aggressive Revascularization in Patients With Intermediate Lesions Undergoing Percutaneous Coronary Intervention With Angiography Guidance Alone
NCT00743899 ·Status: UNKNOWN ·Phase: NA