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Chronic Coronary Artery Disease Management - Dr Cutlip.pdf

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Revascularization Treatment Options<br />

Percutaneous <strong>Coronary</strong> Intervention (PCI) vs CABG<br />

• Acute <strong>Coronary</strong> Syndrome<br />

– Revascularization benefit in most patients<br />

– PCI usually preferred if feasible<br />

• Stable CAD<br />

– Single vessel (non proximal LAD) > PCI preferred<br />

– Proximal LAD<br />

• Most prefer PCI unless diffuse or complex disease<br />

• Limited comparative effectiveness data<br />

• Multi-vessel CAD<br />

HARVARD CLINICAL RESEARCH INSTITUTE

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