8 doctors weighed in:

Which is better: angioplasty or a bypass surgery?

8 doctors weighed in
Dr. Mark Rasak
Internal Medicine - Cardiology
5 doctors agree

In brief: Depends

Too broad a question.
Pts with poor heart function , mutiple vessels invoved, diabetics and left main involvement tend to be treated by bypass. The data suggests that the higher risk pts need complete revascularization and this is usually achieved by surger . With drug coated stents and improved technology the gap has closed and either may be suitable. Risks/benefits/alternatives should be discussed.

In brief: Depends

Too broad a question.
Pts with poor heart function , mutiple vessels invoved, diabetics and left main involvement tend to be treated by bypass. The data suggests that the higher risk pts need complete revascularization and this is usually achieved by surger . With drug coated stents and improved technology the gap has closed and either may be suitable. Risks/benefits/alternatives should be discussed.
Dr. Mark Rasak
Dr. Mark Rasak
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Dr. Milton Alvis Jr
Preventive Medicine
2 doctors agree

In brief: MoreImportantIssues

Concur with dr. Rasak answers but both approaches are only partial treatment options for symptoms of advanced artery disease, do not cure, indeed complicate the disease & add additional problems.
Wiser approach: aggressively change the internal drivers of artery disease & only consider PTCA or surgery as a partial adjunct after the drivers are reversed, if judged needed (often no longer needed).

In brief: MoreImportantIssues

Concur with dr. Rasak answers but both approaches are only partial treatment options for symptoms of advanced artery disease, do not cure, indeed complicate the disease & add additional problems.
Wiser approach: aggressively change the internal drivers of artery disease & only consider PTCA or surgery as a partial adjunct after the drivers are reversed, if judged needed (often no longer needed).
Dr. Milton Alvis Jr
Dr. Milton Alvis Jr
Thank
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