Table 4.

General roles of percutaneous coronary intervention (PCI) and coronary artery bypass surgery (CABG)

	PCI
Condition	1993	2003	CABG
Acute presentation
Acute coronary syndrome	++	+++	++
Cardiogenic shock	+/-	+	+/-
Acute full thickness myocardial infarction	+	+++	-
Bailout after failed thrombolysis	+	++	-
Chronic presentation
Impaired left ventricle with left main stem stenosis and blocked right coronary artery	--	-	+++
Impaired left ventricle and 3 vessel disease	+	++	+++
Impaired left ventricle and 3 vessel disease with ≥ 1 occlusion	-	+	+++
Diabetes and 3 vessel disease	+	++	+++
Good left ventricle and 3 vessel disease	+	++	+++
2 occluded vessels	-	-	++
Good left ventricle and 2 vessel disease	+	+++	++
Repeat revascularisation after PCI	++	+++	++
Good left ventricle and 1 vessel disease	+++	+++	+
2-3 vessel diffuse or distal disease	+	++	+
Repeat revascularisation after CABG	+	++	+
Palliative partial revascularisation	+	++	-
Revascularisation of frail patient or with severe comorbidity	+	++	-

⁺⁺⁺highly effective role

⁺⁺useful role

⁺limited role

^-treatment not preferred

^--treatment usually strongly advised against