Is There Still a Survival Advantage to Bypass Surgery Over Percutaneous Intervention in the Modern Era?

Gill Louise Buchanan, Alaide Chieffo, Antonio Colombo

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

The method of revascularization for multi-vessel coronary artery disease (MVD) has traditionally been coronary artery bypass grafting (CABG), however, due to recent advances in the field of percutaneous coronary intervention (PCI), this latter technique has gained in popularity and its role in guidelines has been promoted. This review aims to address the current data available for the treatment of patients with complex coronary disease, including the specific disease subset in those with diabetes mellitus, focusing on the importance of risk stratification and review by the 'Heart Team'. The concept of complete versus incomplete revascularization and the assessment of lesions utilizing functional techniques are discussed. Over recent years, PCI has grown to become the most frequently performed therapeutic intervention in medicine and continues to grow. There are encouraging data that this is an effective and safe treatment option in selected patients, however, neither strategy alone can provide a solution for the entire spectrum of patients with MVD.

Original languageEnglish
Pages (from-to)335-341
Number of pages7
JournalProgress in Cardiovascular Diseases
Volume58
Issue number3
DOIs
Publication statusPublished - Nov 1 2015

Fingerprint

Percutaneous Coronary Intervention
Survival
Coronary Artery Bypass
Coronary Disease
Coronary Artery Disease
Diabetes Mellitus
Therapeutics
Medicine
Guidelines

Keywords

  • Coronary artery bypass grafting
  • Drug-eluting stent
  • Heart team
  • Multi-vessel coronary artery disease
  • Percutaneous coronary intervention

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Is There Still a Survival Advantage to Bypass Surgery Over Percutaneous Intervention in the Modern Era? / Buchanan, Gill Louise; Chieffo, Alaide; Colombo, Antonio.

In: Progress in Cardiovascular Diseases, Vol. 58, No. 3, 01.11.2015, p. 335-341.

Research output: Contribution to journalArticle

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