Chapter 7 Coronary revascularization in the patient with diabetes
Owen Bebb and
Stephen Wheatcroft
- • Patients with diabetes represent a substantial proportion of patients undergoing coronary artery bypass graft (CABG) surgery and percutaneous coronary intervention (PCI)
- • The diffuse and rapidly progressive nature of coronary disease in individuals with diabetes pose significant challenges for revascularization
- • Despite recent technological advances in surgical and percutaneous techniques, clinical outcomes remain poorer for patients with diabetes compared to those without
- • Selection of revascularization strategy should be based on consideration of the severity and extent of coronary artery disease and the potential for complete revascularization
- • CABG offers advantages over PCI in individuals with diabetes and multi-vessel disease, with reduced requirement for repeat revascularization but no difference in survival.
