[Coronary revascularization in the diabetic].
Diabetes mellitus is associated with increased risk of short and long-term complications after balloon angioplasty. In patients with multivessel disease, there may be a substantial increase in long-term mortality when percutaneous transluminal coronary angioplasty (PTCA) is preferred over surgery in patients who are amenable to both techniques, which should lead to caution in selecting PTCA as a routine revascularization method for these patients. However, many diabetic patients will still require revascularization with PTCA, either for single-vessel disease or because they are poor surgical candidates. Finally, the impact of recent advances, such as stents and glycoprotein IIb/IIIa inhibitors, on the short and long-term results of percutaneous interventions is still not fully defined and deserves further study.
Service de Cardiologie, Hôpital Bichat, Paris, France.
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Karila-Cohen
D015906:Angioplasty, Balloon, Coronary; D002986:Clinical Trials as Topic; D001026:Coronary Artery Bypass; D003925:Diabetic Angiopathies / Q000601:surgery*; D006083:Graft Occlusion, Vascular; D006801:Humans; D009204:Myocardial Revascularization; D016032:Randomized Controlled Trials as Topic; D012307:Risk Factors
La revascularisation coronaire chez le diabétique.