Chronic Coronary Artery Disease Management - Dr Cutlip.pdf
Chronic Coronary Artery Disease Management - Dr Cutlip.pdf
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