Clinical Impact of Diabetes Mellitus After Intravascular Imaging-Guided PCI vs Coronary Artery Bypass Grafting - PubMed
7 hours ago
- #Coronary Artery Disease
- #Percutaneous Coronary Intervention
- #Diabetes Mellitus
- CABG is the standard revascularization method for DM patients with complex coronary artery disease.
- The study compares clinical outcomes of IVI-guided PCI, angiography-guided PCI, and CABG in DM patients with left main or 3-vessel disease.
- 3,402 DM patients were included from the RENOVATE-COMPLEX-PCI trial and Samsung Medical Center registries.
- Primary outcome was a composite of all-cause death, nonfatal myocardial infarction, or stroke at 3 years.
- 3-year primary outcome incidence: 20.1% for angiography-guided PCI, 11.4% for IVI-guided PCI, and 12.4% for CABG.
- PCI had higher risk for primary outcome compared to CABG (17.0% vs 12.4%).
- IVI-guided PCI had comparable risk to CABG (11.4% vs 12.4%).
- Propensity score-matched analysis confirmed similar results between IVI-guided PCI and CABG.
- Further randomized controlled trials are needed to confirm findings.