title: [Role of percutaneous coronary intervention in diabetic patients].
abstract: Clinical outcomes after revascularization, both for surgery and percutaneous coronary intervention (PCI), is significantly worse in diabetic patients compared with non-diabetic patients. While in acute coronary syndrome, PCI is favored because of the increased risk of surgery performed during ongoing infarction, in stable patients assessment of clinical factors, such as coronary anatomy and comorbidities should guide decision of the revascularization modality (e.g., surgical, PCI, or conservative). Surgery should be favored in patients with multivessel coronary disease and acceptable surgical risk. Overall, the threshold for surgery compared to PCI should be lower in diabetic patients compared with non-diabetic ones.
authors.affiliation: Service de cardiologie, Département des spécialités de médecine, HUG, 1211 Genève 14. baris.gencer@hcuge.ch
authors.forename: B
authors.initials: B
authors.lastname: Gencer
authors.forename: S
authors.initials: S
authors.lastname: Noble
authors.forename: R F
authors.initials: RF
authors.lastname: Bonvini
authors.forename: F
authors.initials: F
authors.lastname: Mach
authors.forename: M
authors.initials: M
authors.lastname: Roffi
mesh_terms: D002317:Cardiovascular Agents / Q000627:therapeutic use; D017024:Chemotherapy, Adjuvant; D003324:Coronary Artery Disease / Q000601:surgery*; D003925:Diabetic Angiopathies / Q000601:surgery*; D006801:Humans; D062645:Percutaneous Coronary Intervention / Q000379:methods / Q000706:statistics & numerical data; D015607:Stents
chemical_list: D002317:Cardiovascular Agents