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Review
. 2016 Sep;102(3):1012-1022.
doi: 10.1016/j.athoracsur.2016.02.081. Epub 2016 May 21.

Myocardial Revascularization for Patients With Diabetes: Coronary Artery Bypass Grafting or Percutaneous Coronary Intervention?

Serenella Castelvecchio  1 , Lorenzo Menicanti  1 , Andrea Garatti  1 , Roberto Tramarin  2 , Marianna Volpe  2 , Alessandro Parolari  3
Affiliations
Review

Myocardial Revascularization for Patients With Diabetes: Coronary Artery Bypass Grafting or Percutaneous Coronary Intervention?

Serenella Castelvecchio et al. Ann Thorac Surg. 2016 Sep.

Abstract

Patients affected by diabetes usually have extensive coronary artery disease. Coronary revascularization has a prominent role in the treatment of coronary artery disease in the expanding diabetic population. However, diabetic patients undergoing coronary artery bypass grafting or percutaneous coronary intervention experience worse outcomes than nondiabetic patients. Several studies comparing coronary artery bypass grafting vs percutaneous coronary intervention in subgroups of diabetic patients demonstrated a survival advantage and fewer repeat revascularization procedures with an initial surgical strategy. This review summarizes the current state of evidence comparing the effectiveness and safety of coronary artery bypass grafting and percutaneous coronary intervention in diabetic patients.

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