CAD Flashcards
Trial showing CABG > medical therapy for multivessel CAD and ischemic cardiomyopathy with EF < 35%. No ischemic symptoms.
STICHES trial
Study for stable CAF undergoing pci, FFR guided decreased death and cv endpoints
FAME-2
Trials suggesting triple therapy is not good after PCI
PIONEER
Re-DUAL PCI
FAME 2
FFR guided PCI in patients with stable CAD vs medical therapy.
No diff in mortality or MI but decreased need for urgent tevascularization
Class I indications for CABG (4)
LMCA disease
3v CAD
2v with prox LAD
Post cardiac arrest for ischemia mediated VT with complex CAD
PCI vs CABG
Syntax score cutoffs
Low-mod (1)
Mod-high (1)
Unprotected LMCA where PCI = CABG (1)
<= 22, PCI = CABG
> = 33, CABG superior
<33