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What has better outcomes, coronary artery, stent, placement or bypass?

Answer

The choice between coronary artery stent placement and coronary artery bypass grafting (CABG) depends on various factors, including the complexity of the coronary artery disease, patient-specific characteristics, and the risk of restenosis. Both procedures have their own advantages and limitations.

Clinical outcomes

Technical considerations

Patient-specific factors

In conclusion, the choice between coronary artery stent placement and CABG should be individualized, taking into account the complexity of the disease, patient-specific factors, and the risk of restenosis. CABG generally provides better outcomes in terms of survival and major adverse cardiac events, particularly in patients with complex or diffuse coronary artery disease. However, stent placement may be a suitable option for selected patients with less complex lesions or those who are poor surgical candidates.

References

1

Coronary artery disease

Therapeutic procedures

Guidelines

Technical considerations for PCI, choice of stent

Pathway
ACC/.../SCAI 2022