Introduction obstructive left main coronary artery lmca disease is associated with a high rate of morbidity and mortality as a result of compromised myocardial blood supply therefore revascularization by coronary artery bypass grafting cabg surgery has been regarded as standard treatment. We conclude that plain balloon angioplasty stent implantation and coronary artery bypass graft surgery are similar with respect to long term survival but differ with respect to the rate of major adverse coronary events which are most frequent after plain balloon angioplasty and least frequent after coronary artery bypass grafting. Whats the difference between angioplasty and coronary bypass surgery by charles w bryant the other option is a surgical procedure called coronary artery bypass grafting cabg a vein from the leg or chest is sewn to the artery before and after the blockage serving as a side street for the blood to flow around the plaque . A systematic search in medline embase and the cochrane library from database inception up to nov 10 2019 was done to identify randomised clinical trials comparing percutaneous coronary intervention pci with coronary artery bypass grafting cabg. Introduction invasive coronary angiography is the definitive diagnostic test for assessing coronary artery patency1 for many years the femoral artery was the usual vascular access site for such procedures but use of the radial artery has increased due to it being more superficial and easier to compress followin
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