ACP Journal Club. PCI using drug-eluting stents had higher mortality than CABG in diabetes and multivessel CAD.

Commentary CABG and PCI techniques have been cornerstone therapies for patients with CAD (1). Central tenets of clinical decision-making include the notion that patients with an increased burden of CAD and worse left ventricular function have better clinical outcomes with more aggressive modes of treatment (2). Optimal medical therapy has improved over the years, as have clinical outcomes from PCI, with movement from balloon angioplasty to bare metal stents to DESs. CABG techniques have also evolved and now include widespread use of arterial conduits, better cardioplegia, and improved perioperative care.