Table 1. Overview of randomized controlled trials.
Study (year of publication) | Country | Inclusion criteria | Syntax score mean (≥33) | Number of vessels diseased | Patients assigned | Mean age (years) | Male gender | Medically treated diabetes (on insulin) | Stents used | Median follow-up (years) | |
---|---|---|---|---|---|---|---|---|---|---|---|
CABG | DES-PCI | ||||||||||
CARDia, 2010 (16) | United Kingdom and Ireland | Diabetics with multivessel disease including PLAD | NR | 3VD: 63% 2VD: 32% PLAD: 5% | 242 | 248 | 64 | 74% | 100% (38%) | SES (69%) BMS (31%) | 1 |
FREEDOM, 2012 (17) | Multinational | Diabetes and stenosis of more than 70% in two or more major epicardial vessels | 26 (19%) | 3VD: 83% 2VD: 17% | 947 | 953 | 63 | 71% | 100% (32%) | SES (51%) PES (43%) | 3.8 |
VA CARDS, 2013 (18) | US | Diabetics with multivessel disease including PLAD | 22 (13%) | 3VD: 63% 2VD: 24% PLAD: 13% | 97 | 101 | 62 | 99% | 100% (47%) | SES (20%) PES (35%) EES (18%) ZES (2%) MIXED (16%) BMS (1%) | 2 |
SYNTAX*, 2014 (15) | Multinational | Significant stenosis in vessels supplying all three major epicardial territories | 28, NR | 3VD: 100% 2VD: 0% | 549 | 546 | 64 | 80% | 27% (11%) | PES | 5 |
BEST TRIAL, 2015 (13) | South Korea, China, Malaysia, and Thailand | Stenosis of more than 70% of the vessel diameter in major epicardial vessels in the territories of at least two coronary arteries | 24 (16%) | 3VD: 77% 2VD: 23% | 442 | 438 | 64 | 72% | 41% (4%) | EES | 2 |
*, subgroup analysis. 3VD, three-vessel disease; 2VD, two-vessel disease; PLAD, proximal left anterior descending artery disease; DES-PCI, drug-eluting stent percutaneous coronary intervention; CABG: coronary artery bypass grafting; BMS, bare-metal stent; SES, sirolimus-eluting stent; PES, paclitaxel-eluting stent; ZES, zotarolimus-eluting stent; EES, everolimus eluting stent; NR, not reported.