There has been a tug of war in the process of revascularization of symptomatic coronary artery disease with obstructive coronary arteries or CABG.
While, surgery has been and has remained the corner stone for revascularization for multivessel coronary artery disease especially with the involvement of left main coronary arteries.
Recent guidelines and trials are recommending that Percutaneous coronary intervention i.e angioplasty is as good as surgery in these conditions. While the ease of angioplasty causes preference among patients, the survival benefits over the years are supporting the use of CABG in such circumstances.
Dr O P Yadava