PDF(Pubmed)
Abstract：
This case challenges the conventional preference for coronary artery bypass grafting (CABG) over percutaneous coronary intervention (PCI) in patients with diabetes, left main coronary artery disease (LMCAD) and multivessel disease. Current guidelines generally recommend CABG, especially in the context of LMCAD. However, our case involves a male patient with diabetes with LMCAD and extensive multivessel disease who was successfully treated with PCI, demonstrating a favorable outcome. Despite the high-risk profile, including a SYNTAX score of 28, the PCI approach was selected. This decision was supported by evidence suggesting comparable outcomes between PCI and CABG in similar patients. Our case highlights the potential of PCI as not just a viable, but potentially superior alternative in specific high-risk patients with diabetes, contrary to the prevailing belief in favor of CABG for all patients with left main involvement.
摘要：
该病例挑战了糖尿病患者冠状动脉旁路移植术（CABG）优于经皮冠状动脉介入治疗（PCI）的传统偏好，左主干冠状动脉疾病（LMCAD）和多支血管疾病。目前的指南通常推荐CABG，特别是在LMCAD的背景下。然而,我们的病例包括1例男性糖尿病合并LMCAD和广泛的多支血管疾病患者,该患者成功接受PCI治疗,结果良好.尽管风险很高，包括SYNTAX评分28分,选择PCI方法.这一决定得到了证据的支持，这些证据表明PCI和CABG在相似患者中具有可比性。我们的案例凸显了PCI的潜力，不仅是可行的，但在特定的高危糖尿病患者中可能有更好的选择，与对所有左主干受累患者支持CABG的普遍看法相反。
