ArticleAnatolian journal of cardiology2025
Robotic-Assisted Coronary Artery Bypass Grafting vs. Percutaneous Coronary Intervention Strategies for Ostial Left Anterior Descending Lesions.
Article in Anatolian journal of cardiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
3 citing papers in PubMed.
- PCI for Ostial Stenosis of Left Circumflex or Left Anterior Descending Artery.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2026Observational
- Reply to Letter to the Editor: "Comment on: Robotic-Assisted Coronary Artery Bypass Grafting vs. Percutaneous Coronary Intervention Strategies for Ostial Left Anterior Descending Lesions".Anatolian journal of cardiology · 2025Article
- Comment on: Robotic-Assisted Coronary Artery Bypass Grafting vs. Percutaneous Coronary Intervention Strategies for Ostial Left Anterior Descending Lesions.Anatolian journal of cardiology · 2025Article
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Authors and funding
16 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe comparison of outcomes of robotic-assisted coronary artery bypass grafting (RA-CABG) vs. stenting techniques (ostial or crossover stenting) for ostial left anterior descending (LAD) artery lesions is still lacking. This retrospective study sought to determine the midterm outcomes of RA-CABG, crossover stenting (CS), and ostial stent implantation (OSI) in patients with ostial LAD disease.
methodsAll cases were divided into 3 groups as follows: RA-CABG (group 1) (n = 157), CS (group 2) (n = 104), and OSI (group 3) (n = 178). The primary endpoint was defined as the major adverse cardiac and cerebral events (MACCE), which included cardiac death, target vessel myocardial infarction, target vessel revascularization (TVR), stroke, and stent thrombosis or symptomatic graft occlusion during follow-up. This is the first investigation comparing midterm outcomes of RA-CABG, CS, and OSI as revascularization options for ostial LAD lesions.
resultsA total of 439 consecutive individuals [male: 341 (77.6%), mean age: 59.58 ± 9.35 years] with ostial LAD disease were included in this study. The rates of MACCE (P = .020 for groups 3 vs. 1; P = .011 for groups 3 vs. 2) and clinically driven TVR (15.7 vs. 4.5%, P = .001 for groups 3 vs. 1; 15.7 vs. 5.8%, P = .014 for groups 3 vs. 2) were notably higher in group 3 than the others. The mid-term MACCE [(adjusted hazard ratio = 2.129 [95% confidence interval: 1.360-3.334], P = .001)] in the overall population significantly differed between group 3 and the others.
conclusionThe findings of the study suggest that OSI for ostial LAD lesions was associated with higher midterm MACCE and TVR rates than revascularization with RA-CABG or CS.
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