Therapy

Offer spinal cord stimulation surgery ^a  

Why?

Spinal cord surgery causes less mortality in surgically high risk patients than CABG

Patient	Treatment	Comparison	Outcome	CER	RRR (95% CI)	NNT (95% CI)
severe angina, at high risk for surgery but unsuitable for angioplasty a	spinal cord stimulation surgery	CABG	death at 6 months	14%	86% (-8% to 98%)	8 (5 to 59)

• Spinal cord stimulation is as effective at controlling symptoms as CABG in patients with severe angina who would only benefit symptomatically from CABG, but are at increased risk of surgical complications. ^a
• Fewer patients given spinal cord stimulation die. ^a