A narrative review discussing the historical context and evolving equilibrium between CABG and percutaneous catheter techniques for coronary multivessel disease.
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Offers historical context on CABG-PCI equilibrium in multivessel disease; leaves open optimal strategies pending new trials.
Coronary artery bypass grafting has had a significant impact on the treatment of angina, and has been the 'gold standard' since 1969. Its use and efficacy has been increased by revascularization in cardiac arrest and the use of the internal mammary artery. In parallel, catheter techniques have evolved by means of balloon dilatation and additional stenting. This has effected the referral to surgery despite the development of new arterialization techniques and minimally invasive surgery. As competing techniques, an acceptable equilibrium between surgery and stenting will be found within the next years.
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Stanger et al. (2006) studied this question.
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