Journal of the American College of Cardiology
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J. Am. Coll. Cardiol. · Feb 2019
Meta Analysis Comparative StudyImpact of Chronic Kidney Disease on Outcomes of Myocardial Revascularization in Patients With Diabetes.
The optimal coronary revascularization strategy in patients with stable ischemic heart disease (SIHD) who have type 2 diabetes (T2DM) and chronic kidney disease (CKD) remains unclear. ⋯ Among SIHD patients with T2DM and no CKD, CABG + OMT significantly reduced MACCE compared with PCI + OMT. In subjects with CKD, there was a nonsignificant trend toward a better MACCE outcome with CABG and a significant reduction in subsequent revascularization.