• Int Heart J · Jan 2014

    Review Comparative Study

    CABG versus PCI in the treatment of diabetic patients affected by coronary artery disease.

    • Francesco Nicolini, Andrea Agostinelli, Antonella Vezzani, Filippo Benassi, and Tiziano Gherli.
    • Cardiac Surgery Unit, Department of Clinical and Experimental Medicine, University of Parma.
    • Int Heart J. 2014 Jan 1;55(6):469-73.

    AbstractSurgical coronary revascularization and percutaneous coronary intervention were demonstrated to be effective treatments for coronary artery disease. However, the optimal revascularization strategy remains unclear in certain patient subsets. The recently published Future Revascularization Evaluation in Patients with Diabetes Mellitus: Optimal Management of Multivessel Disease (FREEDOM) trial is a randomized study evaluating the use of CABG versus PCI in diabetic patients with multivessel coronary disease. The purpose of this study was to review the available literature based on randomized trials and observational studies in order to allow clinicians to make evidence-based decisions when treating diabetic patients with multivessel coronary disease. The current evidence suggests that CABG should remain the standard of care for this patient population.

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