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Updated: Jul 29, 2025

Author Spotlight: Enhancing Coronary Artery Revascularization
Published on: September 15, 2023
[Challenges of coronary revascularization in diabetic patients in 2023]
Arnaud Planchat1, Yazan Musayeb1, Marco Roffi1
1Service de cardiologie, Département de médecine, Hôpitaux universitaires de Genève, 1211 Genève 14.
Insights
Diabetic patients face higher risks for cardiovascular events. Coronary artery bypass grafting is preferred over percutaneous coronary intervention (PCI) for complex coronary artery disease in diabetics, though PCI may be suitable for simpler cases.
Area of Science:
- Cardiology
- Diabetology
- Interventional Cardiology
Abstract:
Diabetic patients remain at increased risk for major adverse cardiovascular events, compared to their non-diabetic counterparts. Coronary artery bypass grafting remains superior to percutaneous coronary intervention (PCI) among diabetic patients with chronic coronary syndrome and multivessel coronary artery disease. PCI represents an alternative in diabetic patient with low coronary anatomy complexity. The revascularization strategy should be discussed by a multidisciplinary Heart Team. Despite advances in DES technology, PCI in diabetic patients remains associated with a higher risk of adverse outcomes than in non-diabetic patients, but the long-term outcome results from recently published and ongoing large-scale randomized studies investigating novel DES designs may reshape the landscape of coronary revascularization for diabetic patient.
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