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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.

Original publication

DOI

10.1016/j.athoracsur.2015.07.005

Type

Journal article

Journal

Ann Thorac Surg

Publication Date

12/2015

Volume

100

Pages

2383 - 2397

Keywords

Coronary Artery Disease, Diabetic Angiopathies, Humans, Myocardial Revascularization, Percutaneous Coronary Intervention, Stents