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Condition: Diabetes
Procedure: Coronary Artery Bypass Graft

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Total 437 results found since Jan 2013.

Simplified prediction of postoperative cardiac surgery outcomes with a novel score: R2CHADS2
Conclusion The R2CHADS2 score estimates postoperative events with acceptable accuracy and if further validated may be used as a simple preoperative risk tool calculator.
Source: American Heart Journal - May 30, 2016 Category: Cardiology Source Type: research

Generalizability of EXCEL and NOBLE results to a large registry population with unprotected left main coronary artery disease
Conclusion: In the comparison of a large-sized, all-comer registry, the EXCEL trial might represent better generalizability with respect to baseline characteristics and observed clinical outcomes compared with the NOBLE trial.
Source: Coronary Artery Disease - November 2, 2017 Category: Cardiology Tags: Original Research Source Type: research

Outcomes of Coronary Artery Bypass Graft Surgery Versus Percutaneous Coronary Intervention in Patients Aged 18-45 Years with Diabetes Mellitus.
CONCLUSIONS: In DM patients aged 18-45 years, the cumulative survival rate, and freedom from MI and repeat revascularization for CABG were superior to those of PCI. However, a better trend to avoid stroke was observed with PCI. PMID: 29237922 [PubMed - in process]
Source: Chinese Medical Journal - December 15, 2017 Category: General Medicine Authors: Li Y, Dong R, Hua K, Liu TS, Zhou SY, Zhou N, Zhang HJ Tags: Chin Med J (Engl) Source Type: research

Bilateral Internal Mammary Artery Utilization in Diabetics: Friend or Foe?
CONCLUSIONS: In this statewide analysis, diabetics who received BIMA grafts (compared to diabetics with LIMA grafts or non-diabetics with BIMA grafts) had higher O/E ratios for composite morbidity/mortality as a result of higher O/E ratios for major complications. PMID: 29758209 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - May 11, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Crawford TC, Zhou X, Fraser CD, Magruder JT, Suarez-Pierre A, Alejo D, Bobbitt J, Fonner CE, Wehberg K, Taylor B, Kwon C, Fiocco M, Conte JV, Salenger R, Whitman GJ, Investigators for the Maryland Cardiac Surgery Quality Initiative Tags: Ann Thorac Surg Source Type: research

Bilateral Internal Mammary Artery Use in Diabetic Patients: Friend or Foe?
ConclusionsIn this statewide analysis, diabetic patients who received BIMA grafts (compared with diabetic patients with LIMA grafts or nondiabetic patients with BIMA grafts) had higher O/E ratios for composite morbidity/mortality as a result of higher O/E ratios for major complications.
Source: The Annals of Thoracic Surgery - September 21, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Stent versus Coronary Artery Bypass Surgery in Multi-Vessel and Left Main Coronary Artery Disease: A Meta-Analysis of Randomized Trials with Subgroups Evaluation
Conclusion: Compared with CABG, PCI using Stents showed lower 30 days mortality, higher late mortality and lower incidence of stroke. Diabetes and a high SYNTAX were the subgroups that influenced more adversely the results of PCI.Resumo Fundamento: A compara ção entre a intervenção coronária percutânea (ICP) utilizando stents e cirurgia de revascularização do miocárdio (CRM) permanece controversa. Objetivo: Realizar uma revisão sistemática com metanálise da ICP utilizando stents vs. CRM em estudos clínicos randomizados. Métodos: Foram pe squisadas bases de dados eletrônicas para identificar estudos randomiza...
Source: Arquivos Brasileiros de Cardiologia - June 7, 2019 Category: Cardiology Source Type: research

Evidence based decision making between PCI and CABG
Conclusion: Compared with CABG, PCI using Stents showed lower 30 days mortality, higher late mortality and lower incidence of stroke. Diabetes and a high SYNTAX were the subgroups that influenced more adversely the results of PCI.Resumo Fundamento: A compara ção entre a intervenção coronária percutânea (ICP) utilizando stents e cirurgia de revascularização do miocárdio (CRM) permanece controversa. Objetivo: Realizar uma revisão sistemática com metanálise da ICP utilizando stents vs. CRM em estudos clínicos randomizados. Métodos: Foram pe squisadas bases de dados eletrônicas para identificar estudos randomiza...
Source: Arquivos Brasileiros de Cardiologia - June 7, 2019 Category: Cardiology Source Type: research

Long ‐term outcomes of percutaneous versus surgical revascularization in patients with diabetes and left main coronary artery disease: A meta‐analysis of randomized controlled trials
ConclusionIn this meta-analysis with more than 1000 patients with diabetes and unprotected LMCAD followed for a minimum of 3 years, the incidence of repeat revascularization was higher among those treated with PCI, whereas the risk of stroke was higher in patients treated with CABG.
Source: Journal of Cardiac Surgery - October 19, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Pedro E. P. Carvalho, Thiago M. A. Veiga, Felipe S. L. Machado, Gabriel V. Porto, Jacqueline Pirez, Manuel Rivera, Pedro C. Melo, Joao Braghiroli, Rhanderson Cardoso Tags: ORIGINAL ARTICLE Source Type: research

Percutaneous Coronary Intervention vs Coronary Artery Bypass Graft Surgery for Left Main Disease in Patients With and Without Acute Coronary Syndromes: A Pooled Analysis of 4 Randomized Clinical Trials
CONCLUSION AND RELEVANCE: Among largely stable patients undergoing left main revascularization and with predominantly low to intermediate coronary anatomical complexity, those with ACS had higher rates of early death. Nonetheless, rates of all-cause mortality through 5 years were similar with PCI vs CABG in this high-risk subgroup. The relative advantages and disadvantages of PCI vs CABG in terms of early stroke and long-term spontaneous MI and repeat revascularization were consistent regardless of ACS status.TRIAL REGISTRATION: ClinicalTrials.gov Identifiers: NCT00114972, NCT00422968, NCT01496651, NCT01205776.PMID:3725659...
Source: Atherosclerosis - May 31, 2023 Category: Cardiology Authors: Prakriti Gaba Evald H Christiansen Per H Nielsen Sabina A Murphy Patrick T O'Gara Peter K Smith Patrick W Serruys A Pieter Kappetein Seung-Jung Park Duk-Woo Park Gregg W Stone Joseph F Sabik Marc S Sabatine Niels R Holm Brian A Bergmark Source Type: research

Are drug-eluting stents superior to bare metal stents when compared to coronary artery bypass surgery? Show me the data
Abstract: Recent randomized trials comparing coronary artery bypass surgery (CABG) versus drug eluting stents (DES) observed better survival, survival free of myocardial infarction (MI) and free from death, MI and stroke in patients with 3-vessel disease and diabetics if they were treated with DES. In the past, when we used bare metal stent (BMS) and meta-analysis of randomized trials with BMS and CABG, patients with 3-vessel disease and those with diabetes at 5 years of follow up had similar incidence of death, MI and stroke with CABG and BMS. The results reported recently by the SYNTAX and FREEDOM trials suggested a lack...
Source: Cardiovascular Revascularization Medicine - January 4, 2013 Category: Cardiology Authors: Alfredo E. Rodriguez Tags: Opinion Source Type: research

Does diabetes mellitus increase immediate surgical risk in octogenarian patients submitted to coronary artery bypass graft surgery?
CONCLUSION: In this small consecutive retrospectively analyzed series, there was no significant increase in hospital mortality and morbidity related to diabetes for CABG in octogenarian patients. The impact of the results of this study is limited by the sample size and might be confirmed by future randomized clinical trials.INTRODUÇÃO: O diabetes é um fator de risco conhecido para eventos adversos precoces e tardios em pacientes submetidos à cirurgia de revascularização miocárdica (CRM); entretanto, poucos estudos investigaram sua influência no grupo de pacientes mais idosos, especialmente nos octogenários. OBJETI...
Source: Revista Brasileira de Cirurgia Cardiovascular - April 12, 2013 Category: Cardiovascular & Thoracic Surgery Source Type: research

Coronary artery bypass grafting vs percutaneous coronary intervention in a 'real-world' setting: a comparative effectiveness study based on propensity score-matched cohorts ADULT CARDIAC
CONCLUSIONS In the ‘real-world’ setting of this study, CABG was associated with significantly lower rates of death, MI and TVR in patients with LMCA or multivessel disease, so it remains the standard of care, particularly for patients with more extensive coronary disease and diabetes.
Source: European Journal of Cardio-Thoracic Surgery - June 13, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Fortuna, D., Nicolini, F., Guastaroba, P., De Palma, R., Di Bartolomeo, S., Saia, F., Pacini, D., Grilli, R., on behalf of RERIC (Regional Registry of Cardiac Surgery), REAL (Regional Registry of Coronary Angioplasties) Investigators Tags: ADULT CARDIAC Source Type: research

Characteristics, management and 5 years outcomes of patients with high risk, stable multivessel coronary heart disease.
CONCLUSIONS: Our study showed that patients withadvanced multivessel coronary artery disease who are qualified forcomplete surgical revascularization benefit more than those who were not qualified for surgery and were treated withmedical therapy supplemented in selected cases with incomplete percutaneous revascularization in regard to several primary end points at 5-year follow-up. PMID: 24142754 [PubMed - as supplied by publisher]
Source: Polish Heart Journal - October 21, 2013 Category: Cardiology Authors: Kręcki R, Arazińska A, Peruga JZ, Plewka M, Kasprzak JD, Krzemińska-Pakuła M Tags: Kardiol Pol Source Type: research