title: Interventions for coronary artery disease (surgery vs angioplasty) in diabetic patients.
abstract: Patients with diabetes develop more widespread and more severe atherosclerotic coronary artery disease than patients without diabetes. Medical management of this coronary disease is inferior to revascularization for more complex or more widespread disease. Revascularization by percutaneous intervention (PCI) for patients with diabetes is associated with high mortality and complication rates. Surgical revascularization by coronary artery bypass grafting, yields superior results to PCI for patients with diabetes and coronary artery disease. Patients with diabetes benefit from the same medical management of their coronary artery disease and secondary risk modification as patients without diabetes.
authors.affiliation: Division of Cardiothoracic Surgery, Beth Israel Medical Center, 317 East 17th Street, 11th Floor, New York, NY 10003, USA. Electronic address: dhoffman@chpnet.org.
authors.forename: Darryl M
authors.initials: DM
authors.lastname: Hoffman
authors.affiliation: Division of Cardiothoracic Surgery, Beth Israel Medical Center, 317 East 17th Street, 11th Floor, New York, NY 10003, USA.
authors.forename: Robert F
authors.initials: RF
authors.lastname: Tranbaugh
mesh_terms: D017130:Angioplasty / Q000401:mortality / Q000592:standards*; D015897:Comorbidity; D001026:Coronary Artery Bypass / Q000401:mortality / Q000592:standards*; D003324:Coronary Artery Disease / Q000453:epidemiology / Q000601:surgery / Q000628:therapy*; D003920:Diabetes Mellitus / Q000453:epidemiology; D006801:Humans
keywords: Coronary artery bypass graft; Coronary artery disease; Coronary revascularization; Diabetes mellitus; Drug-eluting stent; FREEDOM trial; Percutaneous coronary intervention