#epitwitter The dubious interpretation of the #Excel trial rested on interpreting an increased 5 yr risk of death (13% v 9.9%) and of composite outcome (22% v 19.2%) as null because P>0.05. "Not significant" does not mean that the null is true. https://t.co/3nZHG83OTh https://t.co/RuaMY6dUJw
Five-Year Outcomes after PCI or CABG for Left Main Coronary Disease.
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Sep 2019 – Jul 2024Where it's discussed
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AI synopsis
What people are saying
The discussions reveal varying interpretations of the study, emphasizing significant points such as the 5-year mortality rates where CABG outperformed PCI. Phrases like 'stakes are high' and 'clinical risk' reflect serious consideration of the findings, while terms like 'good point' show constructive dialogue. The tone suggests a blend of critical analysis and professional respect, indicating the study's importance in guiding future cardiovascular interventions.
Many discussions indicate a general consensus on the relevance of the study's findings, although some users pointed out specific concerns or different interpretations.
The posts reflect a high level of curiosity and inquiry into the implications of the research, with many discussing the specifics of outcomes.
There are several references to detailed data points and critical interpretations, indicating a moderate level of deeper discourse.
Most commenters believe that these findings will significantly influence clinical practices regarding coronary interventions.
Abstract in brief
- The study compared five-year outcomes for patients with left main coronary artery disease who underwent either percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG).
- The primary outcome of death, stroke, or myocardial infarction was more common in the PCI group compared to the CABG group, with significant differences noted in overall mortality rates.
- Although certain outcomes like myocardial infarction rates were similar between both groups, PCI had higher rates of revascularization procedures, whileCABG resulted in fewer cerebrovascular events.
Top posts
Most liked on X and BlueskyOriginal Article: Five-Year Outcomes after PCI or CABG for Left Main Coronary Disease https://t.co/n0CCacKCP2
Five-Year Outcomes after PCI or CABG for Left Main Coronary Disease | NEJM https://t.co/MCu3BFjxhN
5y mortality significantly reduced with CABG, but all the article is about how beautiful PCI is!! Five-Year Outcomes after PCI or CABG for Left Main Coronary Disease | NEJM https://t.co/sUZsGzynEo
@rtakenakatky 薬剤漏出性ステントが出てから、差はないっていう認識です。https://t.co/CwoYaTKRmo
All mentions
Outcomes of PCI vs CABG for Left Main Coronary Disease
A critical analysis of the EXCEL study reveals significant issues in medical research design. This video discusses five-year outcomes for patients with left main coronary artery disease, comparing PCI and CABG…
RT @Dr_K00001: @rtakenakatky 薬剤漏出性ステントが出てから、差はないっていう認識です。https://t.co/CwoYaTKRmo
@rtakenakatky 薬剤漏出性ステントが出てから、差はないっていう認識です。https://t.co/CwoYaTKRmo
3/ @gwstone showed us that at 5 years PCI event rates for LM PCI are pretty high at 22%. Certainly higher than non LM-PCI, so stakes are high. So interventional risk maybe > clinical risk in intermediate lesion – lets be sure before PCI https://t.co/aqEzjnsrnK
Dr Stoneからのメールにはとにかくすぐに対応し、できるだけ早く正確に直すということだけを心がけました。NEJMのRCTのサブグループのデータの論文を書けるというのは留学の醍醐味です。Left mainにPCI vs CABGのどちらかというStudyです。 https://t.co/MSz0jBAwya
RT @SABOURETCardio: The roots of the (polite and calm) debate #EACTS2020 #cardiotwitter #PCI #CABG Five-Year Outcomes after PCI or CABG for…
RT @SABOURETCardio: The roots of the (polite and calm) debate #EACTS2020 #cardiotwitter #PCI #CABG Five-Year Outcomes after PCI or CABG for…
The roots of the (polite and calm) debate #EACTS2020 #cardiotwitter #PCI #CABG Five-Year Outcomes after PCI or CABG for Left Main Coronary Disease https://t.co/mM26YH1phJ
@ajpeace74 @ajaykirtane @Almanfi_Cardio @ShariqShamimMD @Pooh_Velagapudi @chadialraies @drdevireddy Good point. It won’t be a bad idea to have a quick ❤️ team discussion (if you have an on-site heart team) BUT remember this is an ACS situation with ongoing angina and critical Ostial LM, low syntax/very favorable anatomy for PCI. As you know https://t.co/dROvywA7DT. Thanks!
Five-Year Outcomes after PCI or CABG for Left Main Coronary Disease | NEJM https://t.co/SGWtsWVUWa
RT @ken_rothman: #epitwitter The dubious interpretation of the #Excel trial rested on interpreting an increased 5 yr risk of death (13% v 9…
6/n Visiblement, l'étude EXCEL étude multicentrique occidentale débutée en 2010 répondait à tous les standards de la bonne publication et avait passé sans encombre la barrière de la relecture par les pairs avant d'être publiée dans le NEJM https://t.co/hI4wcILuUZ
https://t.co/hH4HlGtD4O
RT @ken_rothman: #epitwitter The dubious interpretation of the #Excel trial rested on interpreting an increased 5 yr risk of death (13% v 9…
Revisión a los 5 años d #EXCELTrial publicada recientemente en @NEJM “Five-Year Outcomes after PCI or CABG for Left Main Coronary Disease” (NEJM) https://t.co/QfRqj5kCkr
RT @ken_rothman: #epitwitter The dubious interpretation of the #Excel trial rested on interpreting an increased 5 yr risk of death (13% v 9…
RT @ken_rothman: #epitwitter The dubious interpretation of the #Excel trial rested on interpreting an increased 5 yr risk of death (13% v 9…
RT @ken_rothman: #epitwitter The dubious interpretation of the #Excel trial rested on interpreting an increased 5 yr risk of death (13% v 9…
RT @ken_rothman: #epitwitter The dubious interpretation of the #Excel trial rested on interpreting an increased 5 yr risk of death (13% v 9…
RT @ken_rothman: #epitwitter The dubious interpretation of the #Excel trial rested on interpreting an increased 5 yr risk of death (13% v 9…
RT @ken_rothman: #epitwitter The dubious interpretation of the #Excel trial rested on interpreting an increased 5 yr risk of death (13% v 9…
RT @ken_rothman: #epitwitter The dubious interpretation of the #Excel trial rested on interpreting an increased 5 yr risk of death (13% v 9…
RT @ken_rothman: #epitwitter The dubious interpretation of the #Excel trial rested on interpreting an increased 5 yr risk of death (13% v 9…
RT @ken_rothman: #epitwitter The dubious interpretation of the #Excel trial rested on interpreting an increased 5 yr risk of death (13% v 9…
RT @ken_rothman: #epitwitter The dubious interpretation of the #Excel trial rested on interpreting an increased 5 yr risk of death (13% v 9…
RT @ken_rothman: #epitwitter The dubious interpretation of the #Excel trial rested on interpreting an increased 5 yr risk of death (13% v 9…
RT @ken_rothman: #epitwitter The dubious interpretation of the #Excel trial rested on interpreting an increased 5 yr risk of death (13% v 9…
RT @ken_rothman: #epitwitter The dubious interpretation of the #Excel trial rested on interpreting an increased 5 yr risk of death (13% v 9…
RT @ken_rothman: #epitwitter The dubious interpretation of the #Excel trial rested on interpreting an increased 5 yr risk of death (13% v 9…
RT @ken_rothman: #epitwitter The dubious interpretation of the #Excel trial rested on interpreting an increased 5 yr risk of death (13% v 9…
RT @ken_rothman: #epitwitter The dubious interpretation of the #Excel trial rested on interpreting an increased 5 yr risk of death (13% v 9…
RT @ken_rothman: #epitwitter The dubious interpretation of the #Excel trial rested on interpreting an increased 5 yr risk of death (13% v 9…
RT @ken_rothman: #epitwitter The dubious interpretation of the #Excel trial rested on interpreting an increased 5 yr risk of death (13% v 9…
RT @ken_rothman: #epitwitter The dubious interpretation of the #Excel trial rested on interpreting an increased 5 yr risk of death (13% v 9…
RT @ken_rothman: #epitwitter The dubious interpretation of the #Excel trial rested on interpreting an increased 5 yr risk of death (13% v 9…
RT @ken_rothman: #epitwitter The dubious interpretation of the #Excel trial rested on interpreting an increased 5 yr risk of death (13% v 9…
RT @ken_rothman: #epitwitter The dubious interpretation of the #Excel trial rested on interpreting an increased 5 yr risk of death (13% v 9…
RT @ken_rothman: #epitwitter The dubious interpretation of the #Excel trial rested on interpreting an increased 5 yr risk of death (13% v 9…
RT @ken_rothman: #epitwitter The dubious interpretation of the #Excel trial rested on interpreting an increased 5 yr risk of death (13% v 9…
RT @ken_rothman: #epitwitter The dubious interpretation of the #Excel trial rested on interpreting an increased 5 yr risk of death (13% v 9…
RT @ken_rothman: #epitwitter The dubious interpretation of the #Excel trial rested on interpreting an increased 5 yr risk of death (13% v 9…
RT @ken_rothman: #epitwitter The dubious interpretation of the #Excel trial rested on interpreting an increased 5 yr risk of death (13% v 9…
RT @ken_rothman: #epitwitter The dubious interpretation of the #Excel trial rested on interpreting an increased 5 yr risk of death (13% v 9…
RT @ken_rothman: #epitwitter The dubious interpretation of the #Excel trial rested on interpreting an increased 5 yr risk of death (13% v 9…
#epitwitter The dubious interpretation of the #Excel trial rested on interpreting an increased 5 yr risk of death (13% v 9.9%) and of composite outcome (22% v 19.2%) as null because P>0.05. "Not significant" does not mean that the null is true. https://t.co/3nZHG83OTh https://t.co/RuaMY6dUJw
RT @HighSTEACS: @BBCNewsnight @cpgale3 @yadersandoval @gabrielsteg @mirvatalasnag @mmamas1973 .@BBCNewsnight report here https://t.co/3HFU5…
@BBCNewsnight @cpgale3 @yadersandoval @gabrielsteg @mirvatalasnag @mmamas1973 .@BBCNewsnight report here https://t.co/3HFU5SfqTv #EXCEL investigators reported prespecified SCI definition of periprocedural MI. The real issue is discord between DMSC and investigators on conclusions. 5-year events ⬇️ 10-year follow up please... https://t.co/ZmStUuI1C7 https://t.co/tzertxC0e8
https://t.co/VvzAHiRi23
Five-Year Outcomes after PCI or CABG for Left Main Coronary Disease. - PubMed - NCBI 左主要1枝の70%以上の狭窄?患者背景を知りたいところ 1枝ならばPCIにもワンチャンあると思う https://t.co/iLxKySSgeY
RT @FrequenceMedica: Insuffisance coronaire : pas de différence à 5 ans entre pontage et angioplastie avec stent moderne, mais les courbes…
RT @NEJM: Original Article: Five-Year Outcomes after PCI or CABG for Left Main Coronary Disease https://t.co/n0CCacKCP2
RT @CECICath: El Excel Trial: PCI con stents farmacológicos vs CABG a 5 años de follow-up en pacientes con enfermedad de Tronco Coronario I…
El Excel Trial: PCI con stents farmacológicos vs CABG a 5 años de follow-up en pacientes con enfermedad de Tronco Coronario Izquierdo. No hubo una diferencia significativa entre ambos procedimientos con respecto a infarto o ACV. https://t.co/ob0UMabxzC
https://t.co/RyCixYjvZf #LeftMain #Excel
RT @Cardio_delaGuia:
RT @Cardio_delaGuia:
RT @Cardio_delaGuia:
RT @Cardio_delaGuia:
RT @Cardio_delaGuia:
Insuffisance coronaire : pas de différence à 5 ans entre pontage et angioplastie avec stent moderne, mais les courbes divergent en faveur du stent. https://t.co/XKFD94bIYW
RT @NEJM: Original Article: Five-Year Outcomes after PCI or CABG for Left Main Coronary Disease https://t.co/n0CCacKCP2
RT @NEJM: Original Article: Five-Year Outcomes after PCI or CABG for Left Main Coronary Disease https://t.co/n0CCacKCP2
RT @NEJM: Original Article: Five-Year Outcomes after PCI or CABG for Left Main Coronary Disease https://t.co/n0CCacKCP2
RT @alfonso_casi: Sin diferencias en resultados a cinco años después de intervención coronaria percutánea o injerto de revascularización co…
Sin diferencias en resultados a cinco años después de intervención coronaria percutánea o injerto de revascularización coronaria para la enfermedad coronaria principal izquierda. https://t.co/hDAncSnmqo
¡In-di-vi-dua-li-zar!https://t.co/QR1KDRRErO
RT @SRAnesthesiaICU: 5y mortality significantly reduced with CABG, but all the article is about how beautiful PCI is!! Five-Year Out…
RT @NEJM: Original Article: Five-Year Outcomes after PCI or CABG for Left Main Coronary Disease https://t.co/n0CCacKCP2
RT @SRAnesthesiaICU: 5y mortality significantly reduced with CABG, but all the article is about how beautiful PCI is!! Five-Year Out…
RT @SMRAngio: The New England Journal of Medicine Five-Year Outcomes after PCI or CABG for Left Main Coronary Disease https://t.co/zaUGz3…
RT @SRAnesthesiaICU: 5y mortality significantly reduced with CABG, but all the article is about how beautiful PCI is!! Five-Year Out…
RT @SMRAngio: The New England Journal of Medicine Five-Year Outcomes after PCI or CABG for Left Main Coronary Disease https://t.co/zaUGz3…
RT @NEJM: Original Article: Five-Year Outcomes after PCI or CABG for Left Main Coronary Disease https://t.co/n0CCacKCP2
The New England Journal of Medicine Five-Year Outcomes after PCI or CABG for Left Main Coronary Disease https://t.co/zaUGz30jPe #cardiology #smra2019 #coronary #nejm #medical #treatment
RT @NEJM: Original Article: Five-Year Outcomes after PCI or CABG for Left Main Coronary Disease https://t.co/n0CCacKCP2
RT @SRAnesthesiaICU: 5y mortality significantly reduced with CABG, but all the article is about how beautiful PCI is!! Five-Year Out…
RT @SRAnesthesiaICU: 5y mortality significantly reduced with CABG, but all the article is about how beautiful PCI is!! Five-Year Out…
5y mortality significantly reduced with CABG, but all the article is about how beautiful PCI is!! Five-Year Outcomes after PCI or CABG for Left Main Coronary Disease | NEJM https://t.co/sUZsGzynEo
RT @NEJM: Original Article: Five-Year Outcomes after PCI or CABG for Left Main Coronary Disease https://t.co/n0CCacKCP2
RT @NEJM: Original Article: Five-Year Outcomes after PCI or CABG for Left Main Coronary Disease https://t.co/n0CCacKCP2
RT @NEJM: Original Article: Five-Year Outcomes after PCI or CABG for Left Main Coronary Disease https://t.co/n0CCacKCP2
RT @NEJM: Original Article: Five-Year Outcomes after PCI or CABG for Left Main Coronary Disease https://t.co/n0CCacKCP2
RT @NEJM: Original Article: Five-Year Outcomes after PCI or CABG for Left Main Coronary Disease https://t.co/n0CCacKCP2
RT @NEJM: Original Article: Five-Year Outcomes after PCI or CABG for Left Main Coronary Disease https://t.co/n0CCacKCP2
RT @NEJM: Original Article: Five-Year Outcomes after PCI or CABG for Left Main Coronary Disease https://t.co/n0CCacKCP2
RT @NEJM: Original Article: Five-Year Outcomes after PCI or CABG for Left Main Coronary Disease https://t.co/n0CCacKCP2
RT @NEJM: Original Article: Five-Year Outcomes after PCI or CABG for Left Main Coronary Disease https://t.co/n0CCacKCP2
RT @NEJM: Original Article: Five-Year Outcomes after PCI or CABG for Left Main Coronary Disease https://t.co/n0CCacKCP2
RT @NEJM: Original Article: Five-Year Outcomes after PCI or CABG for Left Main Coronary Disease https://t.co/n0CCacKCP2
RT @NEJM: Original Article: Five-Year Outcomes after PCI or CABG for Left Main Coronary Disease https://t.co/n0CCacKCP2
RT @NEJM: Original Article: Five-Year Outcomes after PCI or CABG for Left Main Coronary Disease https://t.co/n0CCacKCP2
Five-Year Outcomes after PCI or CABG for Left Main Coronary Disease | NEJM
RT @NEJM: Original Article: Five-Year Outcomes after PCI or CABG for Left Main Coronary Disease https://t.co/n0CCacKCP2
RT @NEJM: Original Article: Five-Year Outcomes after PCI or CABG for Left Main Coronary Disease https://t.co/n0CCacKCP2
RT @NEJM: Original Article: Five-Year Outcomes after PCI or CABG for Left Main Coronary Disease https://t.co/n0CCacKCP2
RT @NEJM: Original Article: Five-Year Outcomes after PCI or CABG for Left Main Coronary Disease https://t.co/n0CCacKCP2
RT @NEJM: Original Article: Five-Year Outcomes after PCI or CABG for Left Main Coronary Disease https://t.co/n0CCacKCP2
Five-Year Outcomes after PCI or CABG for Left Main Coronary Disease | NEJM https://t.co/HuBJA5irCb
RT @NEJM: Original Article: Five-Year Outcomes after PCI or CABG for Left Main Coronary Disease https://t.co/n0CCacKCP2
RT @NEJM: Original Article: Five-Year Outcomes after PCI or CABG for Left Main Coronary Disease https://t.co/n0CCacKCP2
RT @NEJM: Original Article: Five-Year Outcomes after PCI or CABG for Left Main Coronary Disease https://t.co/n0CCacKCP2
RT @NEJM: Original Article: Five-Year Outcomes after PCI or CABG for Left Main Coronary Disease https://t.co/n0CCacKCP2
In patients with low/intermediate anatomical complexity L CAD ▶️ no significant difference between PCI and CABG for death, stroke, or myocardial infarction at 5 years https://t.co/YiAfiG1tHj
RT @NEJM: Original Article: Five-Year Outcomes after PCI or CABG for Left Main Coronary Disease https://t.co/n0CCacKCP2
RT @NEJM: Original Article: Five-Year Outcomes after PCI or CABG for Left Main Coronary Disease https://t.co/n0CCacKCP2
Original Article: Five-Year Outcomes after PCI or CABG for Left Main Coronary Disease https://t.co/n0CCacKCP2
Five-Year Outcomes after #PCI or #CABG for Left Main #Coronary Disease | NEJM https://t.co/Leaw0A2IvA
Five-Year Outcomes after PCI or CABG for Left Main Coronary Disease | NEJM https://t.co/eIn6AW3lKl no difference in composite endpoint however more deaths in #pci group (vs #CABG)
Five-Year Outcomes after PCI or CABG for Left Main Coronary Disease | NEJM https://t.co/PUKVix8hoz
Five-Year Outcomes after PCI or CABG for Left Main Coronary Disease | NEJM https://t.co/KeKuLM0VF1
Medicine is that field where the truth of yesterday is the lie of tomorrow. #medtwitter Five-Year Outcomes after PCI or CABG for Left Main Coronary Disease | NEJM https://t.co/TNRqoRFMQD
Five-Year Outcomes after PCI or CABG for Left Main Coronary Disease | NEJM https://t.co/Az8SL7DFsf
RT @INC_CathLab: Five-Year Outcomes after PCI or CABG for Left Main Coronary Disease | NEJM https://t.co/MCu3BFjxhN
PCIとCABGの5年RCT。ネガティブな結果。。 Five-Year Outcomes after PCI or CABG for Left Main Coronary Disease | NEJM https://t.co/9UvtBgdBKF
RT @INC_CathLab: Five-Year Outcomes after PCI or CABG for Left Main Coronary Disease | NEJM https://t.co/MCu3BFjxhN
RT @INC_CathLab: Five-Year Outcomes after PCI or CABG for Left Main Coronary Disease | NEJM https://t.co/MCu3BFjxhN
Five-Year Outcomes after PCI or CABG for Left Main Coronary Disease | NEJM "Death from any cause occurred more frequently in the PCI group than in the CABG group (in 13.0% vs. 9.9%; difference, 3.1 percentage points; 95% CI, 0.2 to 6.1)."... https://t.co/Cb6qYMqgBc
RT @INC_CathLab: Five-Year Outcomes after PCI or CABG for Left Main Coronary Disease | NEJM https://t.co/MCu3BFjxhN
RT @INC_CathLab: Five-Year Outcomes after PCI or CABG for Left Main Coronary Disease | NEJM https://t.co/MCu3BFjxhN
RT @INC_CathLab: Five-Year Outcomes after PCI or CABG for Left Main Coronary Disease | NEJM https://t.co/MCu3BFjxhN
Five-Year Outcomes after PCI or CABG for Left Main Coronary Disease | NEJM https://t.co/MCu3BFjxhN
EvidenceAlerts | Five-Year Outcomes after PCI or CABG for Left Main Coronary Disease. https://t.co/kNfR1D8l1X LMTに対するPCIとCABG 死亡、脳卒中、5年以内のMIには有意差なし
Five-Year Outcomes after #PCI or #CABG for Left Main #CoronaryDisease | via @NEJM https://t.co/WlK6pKTrx3
左主冠動脈疾患に対するPCIまたはCABG後の5年間の結果。 Five-Year Outcomes after PCI or CABG for Left Main Coronary Disease. - PubMed - NCBI https://t.co/s3yjQvINmA
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Five-Year Outcomes after PCI or CABG for Left Main Coronary Disease | NEJM https://t.co/m6Y3oDEAuA
Five-Year Outcomes after PCI or CABG for Left Main Coronary Disease | NEJM https://t.co/Eb3W7edBji
Five-Year Outcomes after PCI or CABG for Left Main Coronary Disease | NEJM https://t.co/jJu5CNgbTT
Five-Year Outcomes after PCI or CABG for Left Main Coronary Disease | NEJM https://t.co/GdAmsroad8
Five-Year Outcomes after PCI or CABG for Left Main Coronary Disease https://t.co/KzLLveu1NV
!! Five-Year Outcomes after #PCI or #CABG for Left Main #Coronary Disease https://t.co/x3o3e49d7B .. there was no significant difference between PCI and CABG with respect to the rate of the composite outcome of death, stroke, or myocardial infarction at 5 years. #health
Five-Year Outcomes after #PCI or #CABG for Left Main Coronary Disease | NEJM SYNTAX <32 ==> PCI ✔️ https://t.co/RXXhzvpjq5 https://t.co/UNrTKrdFFU