November 1, 2007Current Opinion in Cardiology
Coronary artery bypass graft vs. percutaneous coronary angioplasty: CABG on the rebound?
Key result
CABG improves survival and freedom from reintervention compared to PCI for patients with proximal LAD, multivessel, and left main-stem CAD, with even greater benefits in diabetic patients.
Why the study?
Does CABG improve survival and reduce reintervention compared to PCI in patients with complex CAD?
Population
Patients with proximal left anterior descending, multivessel and left main-stem coronary artery disease…
Comparison
Coronary artery bypass grafting (CABG) vs Percutaneous coronary intervention, particularly…
Design
Review
Authors
Discussion
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Member takes
Implication
Supports heart team-guided CABG in complex CAD with diabetes; leaves open questions on contemporary stents and medical therapy.
Structured PICO
Does CABG improve survival and reduce reintervention compared to PCI in patients with complex CAD?
P
Population
Patients with proximal left anterior descending, multivessel and left main-stem coronary artery disease (CAD), particularly diabetic patients
I
Intervention
Coronary artery bypass grafting (CABG)
C
Comparator
Percutaneous coronary intervention (PCI), particularly with drug-eluting stents (DES)
O
Outcome
Survival and freedom from reinterventionhard clinical
CABG remains the optimal revascularization strategy for complex CAD, particularly in diabetic patients, highlighting the need for multidisciplinary heart team discussions.
Cite This Study
David P. Taggart (2007) conducted a review in Coronary artery disease (CAD). Coronary artery bypass grafting (CABG) vs. Percutaneous coronary intervention (PCI) was evaluated. CABG improves survival and freedom from reintervention compared to PCI for patients with proximal LAD, multivessel, and left main-stem CAD, with even greater benefits in diabetic patients.