Coronary Artery By-pass Graft (CABG) still remains the gold standard for revascularization. The choice of CABG over Percutaneous Coronary Intervention (PCI) is generally preferred on multi-vessel diseases over single vessel diseases.
In the advent of technology and in the development of bare metal stents (BMS) and drug eluting stents (DES). Many studies have now focused on the comparison on the outcome of PCI against CABG which have a trend to have a favourable result towards PCI.
This lecture aims to discuss the following issues:
§Are CABG and PCI complimentary?
§Is the safety and efficacy similar?
§Do cardiologists ‘cherry pick’ thecomplex PCI cases? And also be the‘judge and jury’ in the referral process?
§Do patients really receive informed consent for PCI procedures
WHAT IS NOT KNOWN on DRUNG ELUTING TENTS?
§Which vessel should be done first?
§When to do complete or incomplete revascularization?
§How to decide – 1 or 2 sessions (staging)?
§What is the late stent thrombosis risks?
§Long-term outcomes are unknown
§Clinical outcomes compared with CABG?
VISAYAS COMMUNITY MEDICAL CENTER
Department of Internal Medicine
Osmena Blvd., Cebu City
M I N U T E S:
CONTNUING MEDICAL EDUCATION (CME) LECTURE
PRESENTOR:Dr. Michael TabalocVENUE: VCMC Conference Room
ACTIVITY:Consultant’s LectureDATE & TIME: November 27, 2009, 8:30 A.M