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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Main Authors:	Marjan Jahangiri, Krishna Mani, Martin T Yates, Justin Nowell
Format:	article
Language:	EN
Published:	Radcliffe Medical Media 2020
Subjects:	Diseases of the circulatory (Cardiovascular) system RC666-701
Online Access:	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
work_keys_str_mv	AT marjanjahangiri theexceltrialthesurgeonsperspective AT krishnamani theexceltrialthesurgeonsperspective AT martintyates theexceltrialthesurgeonsperspective AT justinnowell theexceltrialthesurgeonsperspective AT marjanjahangiri exceltrialthesurgeonsperspective AT krishnamani exceltrialthesurgeonsperspective AT martintyates exceltrialthesurgeonsperspective AT justinnowell exceltrialthesurgeonsperspective
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The EXCEL Trial: The Surgeons’ Perspective

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