Publication Date

Spring 2023

Degree Type

Master's Project

Degree Name

Master of Science in Nursing, Family Nurse Practitioner (MSN)

Department

Nursing

First Advisor

Dorothy Moore

Keywords

CABG, PCI, CAD

Abstract

Coronary artery disease is the leading cause of mortality in the United States. The lifetime probability of developing coronary artery disease after 40 is 40% in men and 32% in women. Cardiac revascularization for patients with complex coronary artery disease is performed commonly. Two common procedures for cardiac revascularization are coronary artery bypass grafting (CABG) and percutaneous coronary intervention (PCI). The purpose of this systemic review is to compare long-term outcomes of CABG and PCI in patients with severe artery disease. This review concluded that PCI was associated with higher rate of repeat revascularization compared to CABG, but the incidence of stroke was lower in patients who underwent PCI. This review also found that patients with higher SYNTAX scores seem to benefit more from CABG as oppose to PCI. This suggests that PCI is an acceptable strategy for patients with lower SYNTAX scores, but patients with higher SYNTAX scores will present better outcomes with CABG.

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