2020, Number 3
The Excel trial and the current clinical guidelines for myocardial revascularization: What do we need to know? Keep me in the loop! Part 2
Language: Spanish
References: 13
Page: 74-80
PDF size: 456.56 Kb.
ABSTRACT
The 2018 ESC/EACTS clinical guidelines for myocardial revascularization have been our “light on the pad” since they officially appeared published in 2019. For interventional cardiologists and cardiac surgeons our highest quality standards are based upon these guidelines above. With this framework, so large a body of trials have been carried on. Excel trial is one of them into this lengthy list. The trial was initially designed in an attempt to come into the open the status of non-inferiority of the PCI compared to CABG. Unfortunately, the Excel trial has been surrounded, in a manner of saying, by many uncommon facts. All this above notwithstanding, the level of credibility of this trial has dramatically fallen far below the target levels, giving raise to the so-called “the Excel scandal”. However, cutting just to the chase, what really happened? Whereas the Excel trial Investigators state out nothing wrong is happening, the crowd claims for a further transparency of open data. However, what is truthfully necessary is to make clear if all these big-gig trials might be compared as a whole to get a true pooled effect impacting the current clinical guidelines.REFERENCES
Mohr FW, Morice MC, Kappetein AP, et al. Coronary artery bypass graft surgeryversus percutaneous coronary intervention in patients with three-vessel diseaseand left main coronary disease: 5-year follow-up of the randomised, clinical SYNTAXtrial. Lancet 2013;381:629-38. doi: 10.1016/S0140-6736:60141-5.
Thuijs DJFM, Kappetein AP, Serruys PW, et al; SYNTAX Extended SurvivalInvestigators. Percutaneous coronary intervention versus coronary artery bypassgrafting in patients with three-vessel or left main coronary artery disease: 10-yearfollow-up of the multicentre randomised controlled SYNTAX trial. Lancet 2019;394:1325-34.