Introduction: While the current optimal non-emergent revascularisation strategy in patients with both diabetes mellitus and coronary heart disease is unclear. Prior randomised clinical trials (RCTs) and meta analyses support coronary artery bypass grafting (CABG) in patients with multi-vessel disease (MVD) and proximal left anterior descending artery (LAD) stenosis. RCTs, the largest being the FREEDOM Trial,
1Future REvascularisation Evaluation in patients with Diabetes mellitus: Optimal management of Multivessel disease.have randomised these patients to CABG or percutaneous coronary intervention (PCI). Interpretation and applicability of clinical trial results may be limited if randomised patients are not typical of those in routine practice. The aim of this study was to identify potential bias in the choice of revascularisation strategy in patients who were eligible but not randomised in the FREEDOM Trial at Liverpool Hospital between June, 2006 and March, 2010.
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© 2011 Published by Elsevier Inc.