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AHA Scientific Sessions 2012: Comparing Revascularization Approaches in Patients With Diabetes & CAD

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The Particulars: Few studies have explored outcomes after PCI or CABG among patients with diabetes and coronary artery disease (CAD) who require and receive these revascularization approaches.

Data Breakdown: A comparison of PCI and CABG was conducted in 1,900 patients with diabetes and CAD. Most patients involved in the study had three-vessel disease. Among the findings:

Outcome

PCI Recipients

CABG Recipients

All-cause death, nonfatal myocardial infarction, or nonfatal stroke

26.6%

18.7%

All-cause death

16.3%

10.9%

Myocardial infarction

13.9%

6.0%

Stroke

2.4%

5.2%

Cardiovascular death

10.9%

6.8%

Take Home Pearl: Patients with diabetes and multivessel CAD who are treated with CABG appear to have lower rates of all-cause mortality, nonfatal myocardial infarction, and nonfatal stroke when compared with those who are treated with PCI.

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