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NEJM Roundtable: CABG vs. Stenting: Clinical Implications of the SYNTAX Trial, Part II

Date: 06 Dec 2009
Uploader: Symposier
Lenght: 4m 58s
Specialty: Cardiology   Cardiovascular Surgery  

Uploaded and Shared in Youtube by: NEJMvideo In the international SYNTAX trial, 1800 patients with three-vessel or left main coronary artery disease were randomly assigned to either revascularization with coronary-artery bypass grafting (CABG) or percutaneous coronary intervention involving drug-eluting stents. The need for repeat revascularization was significantly lower with CABG, but the risk of stroke was significantly higher — a tradeoff that must be considered in making clinical decisions regarding patients with advanced coronary disease. In a roundtable discussion moderated by Dr. Thomas Lee, cardiologists David Hillis and Elizabeth Nabel debate the implications of these findings for clinical practice.


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