PMID- 29901884
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20180703
LR  - 20180703
IS  - 0001-4079 (Print)
IS  - 0001-4079 (Linking)
VI  - 199
IP  - 6
DP  - 2015 Jun
TI  - [Not Available].
PG  - 835-847
AB  - Coronary revascularization in patients with diabetes mellitus. Macrovascular 
      complications of diabetes mellitus and particularly difuse coronary artery 
      atherosclerosis, confer a high risk of morbidity and mortality to this 
      population. Percutaneous coronary intervention (PCI) is the preferred mode of 
      coronary revasculari- zation in acute coronary syndromes withlwithout ST 
      elevation, due to the availability of this procedure in emergency situations and 
      to the fact that the benefit is similar in patients with or without diabetes. In 
      symptomatic stable coronary artery disease, large clinical trials including 
      BARI-2D and FREEDOM have clarified the respective role of PCI and of Coronary 
      Artery By-Pass Surgery (CABG) in patients with multiple vessel disease. The 
      superiority of CABG over PCI is clearly demonstrated in multivessel disease, 
      particu- larly with a high SYNTAX score related to complex lesions. The optimal 
      surgical approach should use the two internal mammary arteries in order to ensure 
      a complete revascularization and to reduce delayed scar healing and infection. 
      The surgical approach in this context improves mortality, reduces the risk of 
      repeat revascularization and preserves cardiac function. The decision of the type 
      of procedure should be taken as recommended by the Haute Autorite de Sante (HAS) 
      by a heart team including an interventional cardiologist, a cardiac surgeon anda 
      diabetologist, and shouldfollow international recommendations such as those of 
      the European Society of Cardiology (Class 1A).
FAU - Komajda, Michel
AU  - Komajda M
FAU - Pavie, Alain
AU  - Pavie A
LA  - eng
PT  - Journal Article
PL  - Netherlands
TA  - Bull Acad Natl Med
JT  - Bulletin de l'Academie nationale de medecine
JID - 7503383
EDAT- 2015/06/01 00:00
MHDA- 2015/06/01 00:01
CRDT- 2018/06/15 06:00
PHST- 2018/06/15 06:00 [entrez]
PHST- 2015/06/01 00:00 [pubmed]
PHST- 2015/06/01 00:01 [medline]
PST - ppublish
SO  - Bull Acad Natl Med. 2015 Jun;199(6):835-847.