Angioplasty versus coronary artery by-pass surgery: a reappraisal.

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dc.contributor.authorChakraborty, Ren_US
dc.date.accessioned1999-07-22en_US
dc.date.accessioned2009-05-31T14:47:44Z
dc.date.available1999-07-22en_US
dc.date.available2009-05-31T14:47:44Z
dc.date.issued1999-07-22en_US
dc.description21 references.en_US
dc.description.abstractRevascularisation is the main principle of treatment of obstructive coronary artery disease. This technique is available either by catheter intervention like angioplasty or by-pass surgery. The superiority of one over the other is still undetermined. In symptomatic single vessel disease angioplasty may be a better option than by-pass surgery. In two-vessel coronary artery disease angioplasty may also be preferred especially with good left ventricular function. In patients with double-vessel disease particularly involving proximal left anterior descending artery in association with diabetes mellitus surgery has better long term results. In multivessel disease by-pass surgery is a preferred option although initial results of angioplasty in this group may be very satisfactory. The incidence of further intervention either by surgery or repeat angioplasty is high in patients undergoing angioplasty in multivessel disease. Left main stem disease should be dealt with by-pass surgery. With continued advancement in the revascularisation technology of coronary artery disease both in catheter intervention and surgical fronts there is no room for unequivocal or universal strategy plan in the management of coronary artery disease. Both the techniques are complimentary to each other. Cost consideration is a major consideration in India. Choice should be made after proper evaluation of coronary anatomy, underlying clinical condition, local experience, social and especially economic circumstances.en_US
dc.description.affiliationApollo Hospitals, Hyderabad.en_US
dc.identifier.citationChakraborty R. Angioplasty versus coronary artery by-pass surgery: a reappraisal. Journal of the Indian Medical Association. 1999 Jul; 97(7): 271-5en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/102981
dc.language.isoengen_US
dc.source.urihttps://www.jimaonline.org.in/en_US
dc.subject.meshAngioplasty, Transluminal, Percutaneous Coronary --adverse effectsen_US
dc.subject.meshCoronary Artery Bypass --adverse effectsen_US
dc.subject.meshCoronary Artery Disease --complicationsen_US
dc.subject.meshCoronary Disease --economicsen_US
dc.subject.meshHealth Care Costsen_US
dc.subject.meshHumansen_US
dc.subject.meshIndiaen_US
dc.subject.meshReoperationen_US
dc.subject.meshTreatment Outcomeen_US
dc.titleAngioplasty versus coronary artery by-pass surgery: a reappraisal.en_US
dc.typeJournal Articleen_US
dc.typeReviewen_US
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