title: Comparing mortality and myocardial infarction between coronary artery bypass grafting and drug-eluting stenting in patients with diabetes mellitus and multivessel coronary artery disease: a meta-analysis.
abstract: BACKGROUND
  We aim to compare the midterm outcomes between coronary artery bypass grafting (CABG) and percutaneous coronary intervention (PCI) in diabetic patients who had multivessel coronary artery diseases (CAD).
  
  
  METHODS
  A comprehensive literature search was conducted to identify the related clinical studies with a follow-up for 1 year at least. The endpoints were death, myocardial infarction, and major adverse cardiac and cerebrovascular events (MACCE).
  
  
  RESULTS
  Finally, the analysis of ten studies involving 5,264 patients showed that patients with CABG had worse baseline characteristics, a higher rate of stable angina pectoris, a higher percentage of triple-vessel disease, higher incidence of chronic total occlusion and a higher SYNTAX score. However, there was no significant difference in mortality between the two groups. Additionally, the rates of myocardial infarction and MACCE were markedly decreased in the CABG group.
  
  
  CONCLUSIONS
  The strategy of CABG is better than PCI for diabetic patients with multivessel CAD. The CABG can significantly reduce the rates of myocardial infarction and MACCE and is comparable in mortality despite the worse baseline characteristics.
authors.affiliation: Institute of Digestive Disease, Tongji Hospital, Tongji University School of Medicine, Shanghai, China.
authors.forename: Xiaolong
authors.initials: X
authors.lastname: Qi
authors.affiliation: Institute of Digestive Disease, Tongji Hospital, Tongji University School of Medicine, Shanghai, China.
authors.forename: Mingxin
authors.initials: M
authors.lastname: Xu
authors.affiliation: Division of Cardiology, Henan Provincial People's Hospital, Zhengzhou, China.
authors.forename: Haitao
authors.initials: H
authors.lastname: Yang
authors.affiliation: Division of Cardiology, Tongji Hospital, Tongji University School of Medicine, Shanghai, China.
authors.forename: Lin
authors.initials: L
authors.lastname: Zhou
authors.affiliation: Division of Cardiology, Tongji Hospital, Tongji University School of Medicine, Shanghai, China.
authors.forename: Yu
authors.initials: Y
authors.lastname: Mao
authors.affiliation: Division of Cardiology, Tongji Hospital, Tongji University School of Medicine, Shanghai, China.
authors.forename: Haoming
authors.initials: H
authors.lastname: Song
authors.affiliation: Division of Anesthesiology, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, China.
authors.forename: Quan
authors.initials: Q
authors.lastname: Li
authors.affiliation: Institute of Digestive Disease, Tongji Hospital, Tongji University School of Medicine, Shanghai, China.
authors.forename: Changqing
authors.initials: C
authors.lastname: Yang
keywords: coronary artery bypass grafting; coronary artery diseases; percutaneous coronary intervention
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