Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
2871842 | The Annals of Thoracic Surgery | 2015 | 15 Pages |
Abstract
Diabetes mellitus is a significant risk modifier for stable coronary artery disease, causing patients to have more extensive and diffuse lesions. Opposing treatment strategies remain a matter of debate. A multiple database search was conducted and outcomes, lesion, and patient characteristics were compared. Overall mortality, cardiac death, major adverse cardiovascular and cerebrovascular events, and need for revascularization were higher with percutaneous coronary intervention than with coronary artery bypass graft surgery. Multivessel disease and high Synergy Between Percutaneous Coronary Intervention With Taxus and Cardiac Surgery (SYNTAX) scores were associated with better outcomes for coronary artery bypass graft surgery.
Keywords
ACCORDBARI 2DClinical Outcomes Utilizing Revascularization and Aggressive Drug Evaluationsirolimus-eluting stentMACCEPESPTCAVADTCARDIABMSRCTPCICoronary artery revascularizationFreedomRandomized controlled trialSESMyocardial infarctionPercutaneous transluminal coronary angioplastyDESdrug-eluting stentBare-metal stentAction to Control Cardiovascular Risk in DiabetesBARIcoronary artery diseaseDiabetesCoronary artery bypass graft surgeryCABGSyntaxRelative riskVeterans Affairs Diabetes TrialSiriusCADLADpercutaneous coronary interventionDEARSynergy Between Percutaneous Coronary Intervention With Taxus and Cardiac SurgeryARTSPaclitaxel-eluting stentADVANCEleft anterior descending arteryCOURAGE
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Authors
Suvitesh MCh, FRCS(Ed), Miguel M. MD, David P. MD, PhD,