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Updated: Jul 14, 2026

Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function
Published on: March 15, 2022
[Percutaneous coronary intervention in diabetes mellitus: an updated analysis of medical practice]
Alexandre Quadros1, Fabiane Diemer, Tatiane Lima
1Laboratório de Hemodinâmica, Instituto de Cardiologia do Rio Grande do Sul, Fundação Universitária de Cardiologia, Porto Alegre, RS, Brazil.
Insights
This review examines percutaneous coronary intervention for diabetic patients with coronary artery disease. It highlights challenges and presents recent data for improved cardiovascular event risk reduction.
Area of Science:
- Cardiology
- Diabetology
- Interventional Cardiology
Context:
- Diabetic patients with coronary artery disease often require myocardial revascularization.
- Treatment decisions are complex due to disease severity, extent, and comorbidities.
- Existing literature often comes from subgroup analyses of trials not specific to diabetics.
Purpose:
- To review current literature on percutaneous coronary intervention (PCI) in diabetic patients.
- To present recent data from the Cardiology Institute of RS on PCI outcomes in this population.
Summary:
- Percutaneous coronary intervention (PCI) is a key revascularization strategy for diabetic patients with coronary artery disease.
- Challenges in decision-making for PCI in diabetics include disease complexity and limited evidence from diabetic-specific trials.
- The study reviews existing literature and shares local experience with PCI in diabetic patients.
Impact:
- Aims to improve risk reduction of cardiovascular events in diabetic patients.
- Enhances quality of life for patients undergoing PCI.
- Provides valuable insights for clinicians managing diabetic patients with coronary artery disease.
Abstract:
Patients with diabetes and coronary artery disease are frequently considered for myocardial revascularization procedures, aiming at cardiovascular events risk reduction and a better quality of life. In clinical practice, decisions concerning surgery or percutaneous coronary intervention are frequently difficult, because of cases' severity, disease extension and co-morbidities association. Beyond that, the bulk of literature information was generated by subgroup analysis of randomized clinical trials, which were designed for the general population, not for diabetics. The aim of this study was to review literature on coronary percutaneous intervention in diabetic patients, and also to show recent data from the experience in this procedure at the Catheterization Laboratory of the Cardiology Institute of RS.
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