CABG Beats Vintage PCI

Diabetes Pci or Cabg: Pros & Cons

Diabetes is challenging for revascularization due to specific disease related high risk clinical and angiographic features. In the early 90’s CABG was the preferred modality of revascularization in diabetics with multivessel disease due to high rate restenosis rates with percutaneous angioplasty alone (POBA) and bare metal stents (BMS). With advent of drug eluting stents (DES) the role of PCI i...

PCI or CABG, That is the Question!

Revascularisation for acute coronary syndromes: PCI or CABG?

We are in the midst of a steady increase in the number of patients presenting to hospitals with acute coronary syndromes (ACS). This group includes patients with ST segment elevation myocardial infarction (STEMI), non-ST segment elevation myocardial infarction (NSTEMI) and unstable angina (chest pain without electrocardiographic changes or an enzyme rise). The optimal treatment of STEMI (curren...

Cost-effectiveness of Primary Pci at Hospitals without Onsite Cabg

A myocardial infarction (MI) occurs when blood supply to the heart is cut off by a blockage in one of the coronary arteries. Most hospitals treat a patient with thrombolysis or a percutaneous coronary intervention (PCI). The latter has been established as the preferred revascularization method. However, the American College of Cardiologists and the American Heart Association strongly recommend ...

Kentucky pilot project for primary PCI without onsite CABG.

PURPOSE The American College of Cardiology, the American Heart Association, and the Society for Cardiovascular Angiography and Interventions strongly recommend that primary Percutaneous Coronary Intervention (PCI) should be performed in facilities that have an experienced cardiovascular surgical team available as emergency backup for all procedures. The current study investigates the medical so...