Diabetes, Heart and Cardiovascular Diseases News Chronicle.  Diabetes, Cardiovascular and Heart Diseases
 Article 254
    Published on October 10, 2017

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Coronary artery bypass surgery (CABG) is effective in treating atherosclerotic coronary arteries in patients with type 1 diabetes

A study found that the coronary artery bypass grafting (CABG) is the best procedure for the treatment of atherosclerotic coronary arteries in patients with diabetes (even among patients with type 1 diabetes) suffering from multi-vessel coronary artery disease. This study confirms the current international guidelines recommending that CABG over the balloon catheter (percutaneous coronary intervention, PCI) procedure for patients with diabetes who are with two are more unhealthy or diseased coronary vessels.


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In a percutaneous coronary intervention (PCI), surgeons use a balloon catheter (catheter with an inflatable balloon at its tips) to expand or enlarge a narrow artery. Percutaneous coronary intervention (PCI) is also known as coronary angioplasty or percutaneous transluminal angioplasty.

A follow-up study in patients with type 1 diabetes (T1D) who underwent a procedure for improving blood circulation in the heart with two or more narrowed coronary vessels (called revascularization) in Sweden between 1995 and 2013. A 10-year follow-up study among those patients who underwent revascularization with percutaneous coronary intervention (PCI) when compared to coronary artery bypass surgery (CABG) show the following risks with PCI procedure

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Health problem Higher risk %
Fatal heart disease 45%
Myocardial infarction 47%
The likely chance for additional PCI or CABG is five times

The study also found that the number of CABG in patients with type 1 diabetes (T1D) declined from 58 percent (between 1995 and 2000) to five percent (between 2007 and 2013) as the percutaneous coronary intervention (PCI) is a non-invasive procedure and it easier to perform.

The study also found that coronary artery bypass grafting (CABG) can be the preferred treatment for patients with type 1 diabetes (T1D) with two or more unhealthy or diseased coronary vessels. The current guidelines also suggest the same thing.



Coronary artery bypass surgery (CABG) is effective for the treatment of atherosclerotic coronary arteries.
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Researcher of the study was Dr. Martin J Holzmann MD, Ph.D, the Department of Emergency Medicine, Karolinska Institutet, Solna, Sweden. The study findings were published online on August 26, 2017, in the Journal of the American College of Cardiology (JACC). Title of the article was "Survival After Coronary Artery Bypass Grafting in Patients With Preoperative Heart Failure and Preserved vs Reduced Ejection Fraction."


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CABG : Coronary artery bypass grafting (CABG) procedure will be performed on patients with coronary heart disease (CHD) (due to plaque in the arteries) to improve blood flow to the heart. This procedure requires general anesthesia and takes between three and six hours. The severity of blockages and the location of the blockage are the factors for the number of bypass surgeries. Up to six bypass surgeries can be performed at a time.

Nursing or care after CABG was intended to reduce risk factors for heart diseases such as blood pressure (BP), stress and cholesterol levels, stopping tobacco usage, regular exercise and leading a better lifestyle along with medications. Some complications with CABG surgery are

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  • Formation of blood clots
  • Between five and ten percent of the patients may experience heart attacks
  • Between one and two percent of the patients (primarily in elderly or old age patients) may experience a stroke
  • About five percent of the patients may require re-exploration due to bleeding (before or after surgery), a risk of lung complications and chest infections.
  • Risk for another treatment increase each year, two percent risk after five years and seven percent risk after ten years
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