Commentary: CABG vs PCI in NSTEMI/UA: Abbreviated alternatives

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!

Debate: PCI vs CABG: a moving target, but we are gaining

The treatment of patients with coronary artery disease continues to evolve; all three strategies - medical therapy, surgical revascularization, and percutaneous coronary intervention - have changed. Medical therapy with intense risk-factor modification and treatment with a statin, aspirin, and angiotensin-converting enzyme (ACE) inhibitors, should be used unless contraindicated. Surgical therap...

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 ...