Trial looks at revascularization strategies in diabetes patients

A Canadian study found diabetes patients with blocked coronary arteries who underwent bypass surgery had lower five-year mortality than those who had angioplasty. However, the rate of nonfatal stroke was higher with bypass surgery, and experts noted that stent technology continues to advance in ways that may benefit patients with diabetes. SCAI President Dr. Ted Bass also noted the data are educational for handling patients without diabetes. "If there is an increase in stroke risk, and no decrease in mortality among the nondiabetic patients, and we don't have any information on nonfatal MI, I think you can hypothesize that maybe multivessel PCI in appropriately selected patients who are not diabetics is even better than many had thought," he said.

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