6 Oct 2023 • 'Its the best thing that has happened to Cardiology'

'Emergency Angioplasty in the golden hour can play a key role in reviving a failing heart'❤️‍🩹

Dr. Vivek Jawali, a highly distinguished cardiothoracic surgeon, highlights the differences between CABG and PCI, and their long - term effects, in this session on 'Bypass Surgery v/s Stent'.

He draws our attention to all the data available, to differentiate the impact of CABG and PCI on overall cardiac health.🫀

So what does the evidence tell us?🧐

Before we look at the data, let us go back in time to the 60s, when bypass surgeries started gaining popularity.📰

Pretty much anybody with a coronary artery block, single vessel or multivessel, was getting a CABG done.

Let us fast forward to 1971, when PCI was introduced in Zurich and took the world of cardiology by storm.

As PCIs started being well - received, both by the healthcare industry and CAD patients, there were also negative reports of restenosis of the stents in many patients.🙍‍♂️

So then came a game changer in interventional cardiology - Drug Eluting Stents.💁‍♀️

And the craze began yet again over stents in management of coronary artery diseases, so much that there was a case report published in JACC:

'A Heart with 67 stents': This individual had 67 stents done in 28 cath lab procedures in a period of 10 years.😱

Hence both interventional cardiologists and CT surgeons came together to create guidelines on using PCI and CABG.🧑‍⚕️

This step was followed by various trials like the SYNTAX trial and the FREEDOM trial, in which cohorts favoured the use of CABG over PCI, with a coronary artery bypass graft showing significantly lower rates of death and MI.🔎

The general consensus was that CABG can bypass the proximal 2/3 of the vessel, where current and future threatening lesions occur and can be used for complicated lesions, however, stenting has a shorter recovery time.

The verdict is that both these forms of treatment will continue to evolve and has to be chosen on a case-by-case basis.✅

So, Bypass v/s PCI : What to choose?

That's not the right question!🙅🏻

The question you should really ask is:

Bypass v/s PCI : What is best for your patient?

Tune in now to find out more?🤗

Click here to watch a replay of Bypass Surgery v/s Stent by Dr. Vivek Jawali right here on Medflix💛