Department of Cardiac Surgery, National Heart Institute, IndiaFulltext PDF
Both coronary artery bypass surgery and percutaneous interventions are competing for numerouno position for coronary revascularisation. Though there have been significant advances in percutaneous interventions, yet they have not been perfected enough to give results equivalent to CABG in all clinical and anatomical scenarios and infact are not universally applicable also. There are guidelines, yet those are being flouted and certain ambiguities are exploited by either side to suit the procedure, not to the patient but to the doctor delivering it. This critical review thus looks at bypass surgery and PCI in light of currently available data and highlights the pitfalls in the available therapies. Certainly PCI is evolving and has come a long way and for simpler coronary anatomies may be the preferred line of myocardial revascularisation, but certainly it has not replaced bypass surgery. The two infact should be viewed as complementary to each other with each having its niche area and domain.
Coronary artery bypass surgery; Percutaneous coronary
Yadava OP. Coronary Artery Bypass Surgery vs. Percutaneous Coronary Intervention: Current Status. Clin Surg. 2016; 1: 1268.