title: Myocardial Revascularization for Patients With Diabetes: Coronary Artery Bypass Grafting or Percutaneous Coronary Intervention?
abstract: Patients affected by diabetes usually have extensive coronary artery disease. Coronary revascularization has a prominent role in the treatment of coronary artery disease in the expanding diabetic population. However, diabetic patients undergoing coronary artery bypass grafting or percutaneous coronary intervention experience worse outcomes than nondiabetic patients. Several studies comparing coronary artery bypass grafting vs percutaneous coronary intervention in subgroups of diabetic patients demonstrated a survival advantage and fewer repeat revascularization procedures with an initial surgical strategy. This review summarizes the current state of evidence comparing the effectiveness and safety of coronary artery bypass grafting and percutaneous coronary intervention in diabetic patients.
authors.affiliation: Department of Cardiac Surgery, IRCCS Policlinico San Donato, Milan, Italy.
authors.forename: Serenella
authors.initials: S
authors.lastname: Castelvecchio
authors.affiliation: Department of Cardiac Surgery, IRCCS Policlinico San Donato, Milan, Italy.
authors.forename: Lorenzo
authors.initials: L
authors.lastname: Menicanti
authors.affiliation: Department of Cardiac Surgery, IRCCS Policlinico San Donato, Milan, Italy.
authors.forename: Andrea
authors.initials: A
authors.lastname: Garatti
authors.affiliation: Department of Cardiac Rehabilitation, IRCCS Policlinico San Donato, Milan, Italy.
authors.forename: Roberto
authors.initials: R
authors.lastname: Tramarin
authors.affiliation: Department of Cardiac Rehabilitation, IRCCS Policlinico San Donato, Milan, Italy.
authors.forename: Marianna
authors.initials: M
authors.lastname: Volpe
authors.affiliation: Unit of Cardiac Surgery and Translational Research, IRCCS Policlinico San Donato, Milan, Italy; Department of Biomedical Sciences for Health, Università Degli Studi di Milano, Milan, Italy. Electronic address: alessandro.parolari@unimi.it.
authors.forename: Alessandro
authors.initials: A
authors.lastname: Parolari
mesh_terms: D001026:Coronary Artery Bypass; D048909:Diabetes Complications / Q000628:therapy*; D006801:Humans; D062645:Percutaneous Coronary Intervention; D017410:Practice Guidelines as Topic; D015607:Stents