CABG versus PCI. Who gets what?

Not a question that we as ED practitioners have to deal with intimately but nonetheless here are some general guidelines for those curious.

PCI:
  • limited number of discrete lesions
  • normal ejection fraction
  • no diabetes
  • poor operative candidate
CABG:

  • extensive or diffuse coronary disease
  • low ejection fraction
  • diabetes
  • concomitant valvular heart disease that needs an operation anyway

Source

Sabatine, M. The Massachusetts General Hospital Handbook of Internal Medicine. 3rd ed. 2008.
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