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J Am Coll Cardiol, 1999; 33:1627-1636
© 1999 by the American College of Cardiology Foundation
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Is a strategy of intended incomplete percutaneous transluminal coronary angioplasty revascularization acceptable in nondiabetic patients who are candidates for coronary artery bypass graft surgery?

The bypass angioplasty revascularization investigation (BARI)

Martial G. Bourassa, MD, FACCa, Kevin E. Kip, PhD{dagger}, Alice K. Jacobs, MD, FACC{ddagger}, Robert H. Jones, MD, FACC§, George Sopko, MD||, Allan D. Rosen, PhD{dagger}, Barry L. Sharaf, MD, FACC, Leonard Schwartz, MD, FACC#, Bernard R. Chaitman, MD, FACC**, Edwin L. Alderman, MD, FACC{dagger}{dagger}, David R. Holmes, MD, FACC{ddagger}{ddagger}, Gary S. Roubin, MD, PhD, FACC§§, Katherine M. Detre, MD, DR PH, FACC{dagger}, Robert L. Frye, MD, FACC{ddagger}{ddagger} for the BARI Investigators

a Department of Medicine, Montreal Heart Institute, Montreal, Canada
{dagger} University of Pittsburgh, Pittsburgh, Pennsylvania, USA
{ddagger} Boston Medical Center, Boston, Massachusetts, USA
§ Duke University Medical Center, Durham, North Carolina, USA
|| NHLBI, Bethesda, Maryland, USA
Rhode Island Hospital, Providence, Rhode Island, USA
# The Toronto Hospital, Toronto, Canada
** St. Louis Hospital, St. Louis, Missouri, USA
{dagger}{dagger} Stanford University Medical Center, Palo Alto, California, USA
{ddagger}{ddagger} Mayo Clinic, Rochester, Minnesota, USA
§§ Lenox Hills Hospital, New York, New York, USA



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Figure 1 Diagram of the Bypass Angioplasty Revascularization Investigation population showing the number of patients with complete revascularization (CR) versus incomplete revascularization (IR) intended (if assigned to percutaneous transluminal coronary angioplasty [PTCA]) and for each group, random assignment and actual treatment by coronary artery bypass graft surgery (CABG) or PTCA. *Refers to eligible patients who agreed to be randomized although the intended completeness of revascularization was assessed for all patients before study entry. **In 311 of the 624 patients clinically important lesions not intended for revascularization were involved.

 


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Figure 2 Angina status among percutaneous transluminal coronary angioplasty (PTCA) patients with complete revascularization (CR) versus incomplete revascularization (IR) intended. CCS = Canadian Cardiovascular Society.

 




 
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