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Volume 359:423-425 July 24, 2008 Number 4
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Stents versus Bypass Grafting for Left Main Coronary Artery Disease

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by Seung, K. B.
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To the Editor: Seung et al. (April 24 issue)1 report that there was no significant difference in rates of death and major cardiovascular events between matched cohorts of patients undergoing coronary-artery bypass grafting (CABG) or percutaneous coronary intervention (PCI) for left main coronary artery disease — a finding that contrasts with recently published data.2 The authors, however, did not consider variables that are significantly and independently associated with in-hospital or 30-day mortality and are currently included in risk-scoring algorithms for coronary bypass operations or interventional procedures.2,3,4,5 Cardiogenic shock was an exclusion criterion, but two thirds of the patients had unstable . . . [Full Text of this Article]



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