title: Revascularization Options: Coronary Artery Bypass Surgery and Percutaneous Coronary Intervention.
abstract: Coronary artery bypass grafting (CAGB) is superior to percutaneous coronary intervention (PCI) in reducing mortality in certain patients and improving the composite end points of angina, recurrent myocardial infarction, and repeat revascularization procedures. However, CABG is associated with a higher perioperative stroke risk. For patients with less complex disease or left main coronary disease, PCI is an acceptable alternative to CABG. Lesion complexity is an essential consideration for stenting, whereas patient comorbidity is an essential consideration for CABG. All patients with complex multivessel coronary artery disease should be reviewed by a heart team including a cardiac surgeon and interventional cardiologist.
authors.affiliation: Department of Cardiothoracic Surgery, Thoraxcenter Erasmus MC, PO Box 2040, Rotterdam 3000 CA, The Netherlands. Electronic address: a.kappetein@erasmusmc.nl.
authors.forename: A Pieter
authors.initials: AP
authors.lastname: Kappetein
authors.affiliation: Department of Cardiology, Thoraxcenter Erasmus MC, PO Box 2040, Rotterdam 3000 CA, The Netherlands.
authors.forename: Nicolas M
authors.initials: NM
authors.lastname: van Mieghem
authors.affiliation: Department of Cardiothoracic Surgery, Thoraxcenter Erasmus MC, PO Box 2040, Rotterdam 3000 CA, The Netherlands.
authors.forename: Stuart J
authors.initials: SJ
authors.lastname: Head
keywords: Coronary artery bypass grafting; Left main disease; Percutaneous coronary intervention; Revascularization; SYNTAX score; Three-vessel disease