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Medical News & Perspectives
January 2, 2013

CABG Again Outshines Stenting for Some Patients With Coronary Artery Blockage

JAMA. 2013;309(1):17-18. doi:10.1001/jama.2012.97092

Los Angeles— A study of patients with diabetes in need of multivessel revascularization has shown that coronary artery bypass graft (CABG) surgery produces better outcomes than percutaneous coronary intervention (PCI). The study, highlighted here in November during the annual Scientific Sessions of the American Heart Association (AHA), adds to the growing list of investigations showing superiority of CABG over PCI in a variety of patient populations.

Yet mounting evidence suggests that PCI continues to be performed at rates higher than is appropriate. So why does it remain difficult for interventional cardiologists to embrace this corner of the evidence-based medicine world?