CABG versus PCI in the Treatment of Unprotected Left Main Disease in Diabetics: A Literature Review.

CABG PCI acute coronary syndrome cardiac coronary intervention left main coronary artery disease stent

Journal

The International journal of angiology : official publication of the International College of Angiology, Inc
ISSN: 1061-1711
Titre abrégé: Int J Angiol
Pays: United States
ID NLM: 9504821

Informations de publication

Date de publication:
Sep 2021
Historique:
entrez: 15 11 2021
pubmed: 16 11 2021
medline: 16 11 2021
Statut: epublish

Résumé

The approach to left main coronary artery disease (CAD) in diabetic patients has been extensively debated. Diabetic patients have an elevated risk of left main disease in addition to multivessel disease. Previous trials have shown increased revascularization rates in percutaneous coronary intervention compared with coronary artery bypass grafting (CABG) but overall comparable outcomes, although many of these studies were not using the latest stent technology or CABG with arterial revascularization. Our aim is to review the most recent trials that have recently published long-term follow-up, as well as other literature pertaining to left main disease in diabetic patients. Furthermore, we will be discussing some future treatment strategies that could likely create a paradigm shift in how left main CAD is managed.

Identifiants

pubmed: 34776818
doi: 10.1055/s-0041-1735517
pii: 210066
pmc: PMC8580609
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

187-193

Informations de copyright

International College of Angiology. This article is published by Thieme.

Déclaration de conflit d'intérêts

Conflict of Interest None declared.

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Auteurs

Daniel Lambert (D)

Department of Cardiac Surgery, North Shore-Long Island Jewish Medical Center, Manhasset, New York.

Allan Mattia (A)

Department of Cardiovascular and Thoracic Surgery, North Shore University Hospital, Manhasset, New York.
Hofstra Northwell School of Medicine, Department of Surgery, Hempstead, New York.

Angel Hsu (A)

Department of Surgery, Rutgers New Jersey Medical School, Newark, New Jersey.

Frank Manetta (F)

Department of Cardiothoracic Surgery, Long Island Jewish Medical Center, New Hyde Park, New York.

Classifications MeSH