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...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Radcliffe Medical Media
2020-11-01
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| Series: | European Cardiology Review |
| Online Access: | https://www.ecrjournal.com/articles/the-excel-trial-the-surgeons-perspective |
| _version_ | 1797200068576542720 |
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| 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 |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-03-07T17:41:16Z |
| format | Article |
| id | doaj.art-b2bc6ceee53142b7abbc917baf009802 |
| institution | Directory Open Access Journal |
| issn | 1758-3756 1758-3764 |
| language | English |
| last_indexed | 2024-04-24T07:25:46Z |
| publishDate | 2020-11-01 |
| publisher | Radcliffe Medical Media |
| record_format | Article |
| series | European Cardiology Review |
| spelling | doaj.art-b2bc6ceee53142b7abbc917baf0098022024-04-20T16:02:01ZengRadcliffe Medical MediaEuropean Cardiology Review1758-37561758-37642020-11-011510.15420/ecr.2020.34The EXCEL Trial: The Surgeons’ PerspectiveMarjan Jahangiri0Krishna Mani1Martin T Yates2Justin Nowell3Department of Cardiac Surgery, St. George’s Hospital, London, UKDepartment of Cardiac Surgery, St. George’s Hospital, London, UKDepartment of Cardiac Surgery, St. George’s Hospital, London, UKDepartment of Cardiac Surgery, St. George’s Hospital, London, UKThere 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.https://www.ecrjournal.com/articles/the-excel-trial-the-surgeons-perspective |
| spellingShingle | Marjan Jahangiri Krishna Mani Martin T Yates Justin Nowell The EXCEL Trial: The Surgeons’ Perspective European Cardiology Review |
| title | 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_short | The EXCEL Trial: The Surgeons’ Perspective |
| title_sort | excel trial the surgeons perspective |
| url | https://www.ecrjournal.com/articles/the-excel-trial-the-surgeons-perspective |
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