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.