Clinical comparison of percutaneous coronary intervention with domestic drug-eluting stents versus off pump coronary artery bypass grafting in unprotected left main XXXX .

@entity1 @entity64 @entity583 @entity453 @entity204
OBJECTIVE: The aim of our study was to compare the clinical outcomes of percutaneous coronary intervention (PCI) with domestic drug-eluting stents (DES) and off pump coronary artery bypass grafting (CABG) for the treatment of unprotected left main coronary artery (ULMCA) disease. METHODS: A total of 227 @entity1 with @entity453 and underwent revascularization was included. One hundred and six @entity1 were treated with PCI with domestic DES implantation and 121 @entity1 with off pump CABG. Clinical outcomes with respect to the major adverse cardiovascular and cerebrovascular events (MACCE) including @entity204 any cause, non-fatal @entity583 ( @entity583 ), @entity64 , and target vessel revascularization (TVR) during hospitalization and at 12-month follow-up were recorded. RESULTS: There was no significant difference between the domestic DES and off pump CABG groups in the risk of @entity204 , non-fatal @entity583 , @entity64 , and TVR during hospitalization and at 12-month follow-up. Overall in-hospital MACCE in PCI versus CABG was 0.94% versus 5.78% (P<0.05). The overall MACCE at 12-month follow up in PCI versus CABG was in 3.77% versus 3.31% (P>0.05). CONCLUSIONS: Domestic DES is feasible and safety in the treatment of @entity453 . When compared with off-pump CABG, domestic DES achieved similar completeness of revascularization, similar in-hospital and 12-month follow-up outcomes. A longer follow-up is needed.
