Dr. Spencer King from Saint Joseph's Hospital in Atlanta moderated the topic "Selection of Patients for Revascularization for Multivessel Disease and/or Diabetes Based on BARI 2D, COURAGE, SYNTAX, and FREEDOM" with Drs. David O. Williams from the Brigham and Women's Hospital and Harvard Medical School and William Weintraub from the Christiana Care Health System and Thomas Jefferson University participating.
The discussion focused primarily on:
(1) the history of revascularization techniques;
(2) current use of surgical vs percutaneous revascularization in patients with multivessel disease;
(3) the role of physician bias and pre-judgement in treatment decision-making;
(4) which patients benefit from interventional procedures;
(5) economic considerations in revascularization;
(6) ethics in clinical trial enrollment; and
(7) future directions in the application of interventional and surgical techniques for patients with stable ischemic heart disease.