Clinical Research in Cardiology

, Volume 95, Supplement 1, pp i31–i34

Aktuelle evidenzbasierte Situation in der Koronarrevaskularisation—

CABG vs. PCI und Diabetes?
  • M. T. R. Grapow
  • R. von Wattenwyl
  • H.-R. Zerkowski
Article

Zusammenfassung

Eine Vielzahl randomisierter, kontrollierter Studien haben bei dem Vergleich zwischen interventioneller Myokardrevaskularisation (PCI) und Koronarchirurgie (CABG) größtenteils geringe Unterschiede im Überleben bei jedoch signifikanten Unterschieden in den Reinterventionsraten zugunsten der operativen Strategie gefunden. Diese Arbeit gibt einen Überblick über die Bedeutung einschließlich Limitierung dieser Untersuchungen vor dem Hintergrund neu publizierter groß angelegter Observationsstudien, die signifikante Vorteile für CABG auch in der Mortalität sehen. Die besondere Situation des Diabetikers wird dabei gesondert beleuchtet.

Schlüsselwörter

Diabetes CABG PCI Mortalität Reinterventionen 

Current evidence-based situation in coronary revascularization—CABG vs. PCI and Diabetes?

Summary

A variety of randomized, controlled trials comparing percutaneous coronary intervention (PCI) with coronary artery bypass grafting (CABG) found similar results in mortality but significant differences in number of reinterventions in favor of CABG. This work gives an overview about the relevance and limitations of these studies in line with newly published large scale observational studies, which reveal significantly lower mortality-rates in CABG patients. Emphasis is placed on the special situation in the diabetic patient.

Key words

Diabetes CABG PCI mortality reintervention 

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Copyright information

© Steinkopff-Verlag 2006

Authors and Affiliations

  • M. T. R. Grapow
    • 1
  • R. von Wattenwyl
  • H.-R. Zerkowski
  1. 1.Division of Cardio-Thoracic SurgeryUniversity Hospital of BaselBaselSwitzerland

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