Short-term outcomes of coronary endarterectomy as an adjunct to coronary artery bypass grafting: A systematic review and meta-analysis of over 100,000 patients - PubMed
4 hours ago
- #meta-analysis
- #cardiac surgery
- #coronary endarterectomy
- Coronary endarterectomy (CE) as an adjunct to coronary artery bypass grafting (CABG) is associated with higher short-term mortality (RR 1.84, 95% CI 1.65-2.04).
- Adjusted analyses indicate the increased risk may partly stem from greater baseline disease severity rather than an independent procedural effect.
- Secondary outcomes show higher risks for perioperative myocardial infarction, stroke, renal failure, and intra-aortic balloon pump use.
- The meta-analysis includes 16 studies with over 119,000 patients but lacks randomized evidence, preventing definitive causal conclusions.
- Findings provide benchmarking data for patient counselling when CE is necessary for complete revascularization.