How do PCI and CABG compare and contrast?
Coronary Bypass/Open Heart Surgery
Chest sawed open to access the heart.
The Non Surgical Alternative Coronary Stent/Percutaneous Coronary Intervention
The entire procedure is performed by gaining access to the heart using a small catheter advanced through an artery from the wrist or the upper thigh.
The NOCOBYE position™
In a nutshell if all available scientific data comparing PCI vs CABG is taken into account it would appear that:
Generally speaking any long term survival benefit with CABG comes at the cost of an initial higher mortality and morbidity in the form of stroke and arrhythmias.
There is no blanket approach that fits all patients with Left main and multi-vessel CAD including diabetics and patients with a high syntax score.
Factors like patient preference, age, history of previous stroke, kidney function and presence of PAD need to be taken into account when making a final recommendation for myocardial revascularization.
We believe that with proper physician input and guidance a well informed patient has the ability and the ultimate right to choose amongst relatively comparable treatment options.