The EXCEL Trial: The Surgeons’ Perspective

There have been several investigations comparing the efficacy of percutaneous coronary intervention and coronary artery bypass grafting surgery for treatment of left main stem disease. This includes the Evaluation of XIENCE versus Coronary Artery Bypass Graft Surgery for Effectiveness of Left Main R...

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Autores principales: Marjan Jahangiri, Krishna Mani, Martin T Yates, Justin Nowell
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Lenguaje:EN
Publicado: Radcliffe Medical Media 2020
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Acceso en línea:https://doaj.org/article/b2bc6ceee53142b7abbc917baf009802
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spelling oai:doaj.org-article:b2bc6ceee53142b7abbc917baf0098022021-12-04T16:03:43ZThe EXCEL Trial: The Surgeons’ Perspective10.15420/ecr.2020.341758-37641758-3756https://doaj.org/article/b2bc6ceee53142b7abbc917baf0098022020-11-01T00:00:00Zhttps://www.ecrjournal.com/articles/the-excel-trial-the-surgeons-perspectivehttps://doaj.org/toc/1758-3756https://doaj.org/toc/1758-3764There have been several investigations comparing the efficacy of percutaneous coronary intervention and coronary artery bypass grafting surgery for treatment of left main stem disease. This includes the Evaluation of XIENCE versus Coronary Artery Bypass Graft Surgery for Effectiveness of Left Main Revascularizaton (EXCEL) trial, which has garnered significant controversy surrounding its experimental design and reporting of its results. The authors review the methodology, results, caveats and statements on the EXCEL trial. They also review the other trials in the management of left main stem disease comparing percutaneous coronary intervention with coronary artery bypass grafting, as well as the SYNTAX score and its role in future guidelines for revascularisation. These findings have significant implications for current practice, influencing the growing role for multidisciplinary team meeting and allowing clinicians and patients to make the right choice.Marjan JahangiriKrishna ManiMartin T YatesJustin NowellRadcliffe Medical MediaarticleDiseases of the circulatory (Cardiovascular) systemRC666-701ENEuropean Cardiology Review , Vol 15, Iss , Pp - (2020)
institution DOAJ
collection DOAJ
language EN
topic Diseases of the circulatory (Cardiovascular) system
RC666-701
spellingShingle Diseases of the circulatory (Cardiovascular) system
RC666-701
Marjan Jahangiri
Krishna Mani
Martin T Yates
Justin Nowell
The EXCEL Trial: The Surgeons’ Perspective
description There have been several investigations comparing the efficacy of percutaneous coronary intervention and coronary artery bypass grafting surgery for treatment of left main stem disease. This includes the Evaluation of XIENCE versus Coronary Artery Bypass Graft Surgery for Effectiveness of Left Main Revascularizaton (EXCEL) trial, which has garnered significant controversy surrounding its experimental design and reporting of its results. The authors review the methodology, results, caveats and statements on the EXCEL trial. They also review the other trials in the management of left main stem disease comparing percutaneous coronary intervention with coronary artery bypass grafting, as well as the SYNTAX score and its role in future guidelines for revascularisation. These findings have significant implications for current practice, influencing the growing role for multidisciplinary team meeting and allowing clinicians and patients to make the right choice.
format article
author Marjan Jahangiri
Krishna Mani
Martin T Yates
Justin Nowell
author_facet Marjan Jahangiri
Krishna Mani
Martin T Yates
Justin Nowell
author_sort Marjan Jahangiri
title The EXCEL Trial: The Surgeons’ Perspective
title_short The EXCEL Trial: The Surgeons’ Perspective
title_full The EXCEL Trial: The Surgeons’ Perspective
title_fullStr The EXCEL Trial: The Surgeons’ Perspective
title_full_unstemmed The EXCEL Trial: The Surgeons’ Perspective
title_sort excel trial: the surgeons’ perspective
publisher Radcliffe Medical Media
publishDate 2020
url https://doaj.org/article/b2bc6ceee53142b7abbc917baf009802
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