Comparison on effects of coronary artery bypass grafting and percutaneous coronary intervention on left main coronary artery lesions
Objective To compare the effects of coronary artery bypass grafting(CABG)and percutaneous coronary intervention(PCI)on left main coronary artery(LMCA)lesions.Methods 86 patients with left main coronary artery disease admitted to Jiaozuo People's Hospital from February 2021 to February 2023 were divided into a control group and an observation group according to the treatment method,with 43 cases in each group.The control group received CABG treatment,while the observation group received PCI treatment.Compare the length of hospital stay,cardiac function indicators,including left ventricular ejection fraction(LVEF),brain natriuretic peptide(BNP),and N-terminal B-type natriuretic peptide(NT proBNP),improvement in cardiac function grading,and incidence of cardiovascular adverse events(MACCE)at 6 months post surgery,including angina,myocardial infarction,revascularization,and cardiac death)between two groups.Results The hospitalization time of the observation group was shorter than that of the control group,and the difference was statistically significant(P＜0.05).After treatment,the LVEF,BNP,NT proBNP,and NYHA grading of heart function in the observation group were compared with the control group,and the differences were not statistically significant(P＞0.05),but there was a significant improvement compared with before treatment in this group(P＜0.05).The incidence of postoperative revascularization and total incidence of MACCE in the observation group were higher than those in the control group,but the difference was not statistically significant(P＞0.05).The incidence of angina in the observation group was higher than that in the control group,and the difference was statistically significant(P＜0.05).Conclusions CABG and PCI have similar short-term treatment effects for LMCA lesions,but CABG has a better long-term prognosis than PCI,and the recovery time after PCI is shorter.
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