Long-term survival after surgical or percutaneous revascularization in patients with diabetes and multivessel coronary disease
Journal of the American College of Cardiology Sep 04, 2020
Tam DY, Dharma C, Rocha R, et al. - Researchers compared early as well as long-term results of percutaneous coronary intervention (PCI) vs coronary artery bypass grafting (CABG) in patients suffering from diabetes. For this purpose, they joined clinical and administrative databases in Ontario, Canada. They ultimately collected data from all patients with diabetes with angiographic proof of 2- or 3-vessel coronary artery disease (CAD) who were managed with either PCI or isolated CABG from 2008 to 2017. To account for baseline disparities, a 1:1 propensity score match was done. Major cardiovascular and cerebrovascular events [MACCEs] were defined as the composite of myocardial infarction, repeat revascularization, stroke, or death. Between the matched groups, all-cause mortality and MACCEs were compared. Findings revealed both improved long-term mortality and freedom from MACCEs in relation to CABG vs PCI in patients with multivessel CAD and diabetes.
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