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Abstract
The choice of CABG versus PCI for multi vessel disease is a complicated decision. Within the past decade, several randomized controlled trials have been published comparing percutaneous coronary intervention (PCI) to coronary artery bypass graft surgery (CABG). This study was conducted on fifty diabetic patients with ischemic heart disease who showed multivessel lesions with good distal run off that could be treaded either by PCI or CABG at the period from December 2005 to August 2007.
The patients were divided into two groups:
Group (A) included twenty five patients who underwent PCI to accessable lesions.
Group (B) included twenty five patients who underwent CABG for diseased vessels.
Follow up for one year for all the patients showed that MACE positive patients in group (A) were 36% versus 24% in group (B). The difference between the two groups was statistically insignificant.
Our study showed also that long duration of DM and use of insulin therapy are highly significant predictors of ISR in diabetics.