Percutaneous coronary intervention versus coronary artery bypass grafting for diabetics with multivessel coronary artery disease: the Korean Multicenter Revascularization Registry (KORR)

• Published in: Journal of Korean medical science 2005-04, Vol.20 (2), p.196-203
• Main Authors: Gwon, Hyeon-Cheol, Choi, Seung Hee, Choi, Byung-Il William, Cho, Seung Yun, Ro, Young Moo, Lee, Won Ro
• Format: Article
• Language: English
• Subjects: Angioplasty, Balloon, Coronary; Coronary Artery Bypass; Coronary Disease - therapy; Diabetic Angiopathies - therapy; Humans; Original; Registries; Retrospective Studies; Stents
• ISSN: 1011-8934; 1598-6357
• DOI: 10.3346/jkms.2005.20.2.196

This study was designed to assess the relative merits of percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG) in multivessel coronary artery disease (MVCAD), particularly for Korean diabetics. Among 3,279 patients with MVCAD who were recommended for revascularization were enrolled from nine centers in Korea, 2,154 were selected after statistical adjustments for the disparities between two groups. Survival rates were not significantly different for three years between two groups. Among diabetic patients, the three-year mortality rate in PCI group was 1.9-fold higher than that of CABG group, although it was not statistically significant (PCI 19.8%, CABG 11.4%, p=0.14). The three-year mortality rate was similar between the two groups in non-diabetics (PCI 8.3%, CABG 10.0%, p=0.50). The 30-day rate of cerebrovascular event was higher in CABG group, for both diabetic (CABG 3.6%, PCI 0.0%, p