title: Percutaneous coronary intervention vs. cardiac surgery in diabetic patients. Where are we now and where should we be going?
abstract: Patients with diabetes mellitus are at increased risk of developing coronary artery disease (CAD) and have an increased incidence of recurrent events following revascularization. Choosing the most appropriate strategy to revascularize these high-risk patients is crucial for improving the clinical outcomes. Several studies, randomized trials and meta-analyses have compared short- and long-term outcomes following coronary artery bypass grafting (CABG) and percutaneous coronary intervention (PCI) in diabetic patients suffering from CAD. The aim of this article is to review the currently available evidence on the role of PCI and CABG in the management of diabetic patients with CAD.
authors.affiliation: Cardiology Department, Gloucestershire Hospitals NHS Foundation Trust, Cheltenham General Hospital, Cheltenham, United Kingdom. Electronic address: gksup@yahoo.gr.
authors.forename: George
authors.initials: G
authors.lastname: Kassimis
authors.affiliation: Institute of Cardiovascular Sciences, University College of London, London, United Kingdom; Department of Cardiology, Barts Health NHS Trust, London, United Kingdom.
authors.forename: Christos V
authors.initials: CV
authors.lastname: Bourantas
authors.affiliation: Cardiology Department, Gloucestershire Hospitals NHS Foundation Trust, Cheltenham General Hospital, Cheltenham, United Kingdom.
authors.forename: Raina
authors.initials: R
authors.lastname: Tushar
authors.affiliation: Oxford Heart Center, John Radcliffe Hospital, Oxford, United Kingdom.
authors.forename: Giovanni Luigi
authors.initials: GL
authors.lastname: de Maria
authors.affiliation: Cardiology Department, University Hospital of Patras, Rion, Greece.
authors.forename: Periklis
authors.initials: P
authors.lastname: Davlouros
authors.affiliation: Cardiology Department, University Hospital of Patras, Rion, Greece.
authors.forename: George
authors.initials: G
authors.lastname: Hahalis
authors.affiliation: Cardiology Department, Attikon University Hospital, Athens, Greece.
authors.forename: Dimitrios
authors.initials: D
authors.lastname: Alexopoulos
authors.affiliation: Oxford Heart Center, John Radcliffe Hospital, Oxford, United Kingdom.
authors.forename: Adrian P
authors.initials: AP
authors.lastname: Banning
mesh_terms: D015906:Angioplasty, Balloon, Coronary / Q000379:methods; D006348:Cardiac Surgical Procedures; D001026:Coronary Artery Bypass / Q000379:methods*; D003324:Coronary Artery Disease / Q000150:complications / Q000453:epidemiology / Q000601:surgery*; D048909:Diabetes Complications / Q000453:epidemiology / Q000628:therapy; D003920:Diabetes Mellitus / Q000453:epidemiology* / Q000628:therapy; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D015201:Meta-Analysis as Topic; D017202:Myocardial Ischemia / Q000150:complications / Q000453:epidemiology / Q000601:surgery*; D009204:Myocardial Revascularization / Q000295:instrumentation*; D062645:Percutaneous Coronary Intervention / Q000379:methods*; D016032:Randomized Controlled Trials as Topic; D012307:Risk Factors; D016896:Treatment Outcome
keywords: CABG; Diabetic patients; PCI; Revascularization