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PTCA or CABG in Diabetes Mellitus

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Prof Sundeep Mishra, New Delhi    05 January 2018

  1. Trials reveal higher MACE after revascularization with PCI compared with CABG in patients with triple vessel disease.
  2. Most of this higher MACE is associated with increased requirement of repeat procedure with PCI.
  3. However, this risk may not hold true for single vessel disease or with latest generation of stents.
  4. The risks of death and target vessel MI with PCI are particularly high in insulin-dependent patients with diabetes.
  5. Even risk of stent thrombosis is higher in these patients.
  6. In patients with high surgical risk, PCI still remains an option.
  7. Newer anti-platelets are better than clopidogrel in patients with diabetes.

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