The joint cardiology-cardiothoracic multi- disciplinary team (MDT) meeting: patient characteristics and revascularisation outcomes

摘要

The multi-disciplinary approach provides a forum for peer review of angiographic data. We aimed to examine the outcomes of our multi-disciplinary team (MDT) meetings in a two-year follow-up study. A total of 191 patients were studied and mainly divided into groups offering conservative therapy, percutaneous coronary intervention (PCI) or coronary artery bypass surgery (CABG). CABG was offered to 60% of patients with left main stem disease, 45% with proximal left anterior descending artery lesions and 59% with triple-vessel disease. PCI was offered to 40% of patients with single-vessel disease. One death was observed in the PCI group at two years, substantially lower than deaths in other groups. Overall mortality at two years was 6.4%. PCI conferred a significantly higher need for repeat revascularisation compared with surgery (odds ratio 5.71, p=0.005). Our results resonate with outcomes of published trial data comparing CABG and PCI.