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The mid- to long-term results of several trials comparing PCI with CABG have recently been published. For three-vessel disease, CABG is superior to PCI, with lower rates of major adverse cardiac events. PCI may be equivalent to CABG for three-vessel disease in the lowest disease complexity http://www.selleckchem.com/products/poziotinib-hm781-36b.html tercile (SYNTAX score http://www.selleckchem.com/products/ganetespib-sta-9090.html in the USA in 2005. Concern about early and late stent thrombosis, and the need for long-term dual anti-platelet therapy decreased DES use to 68% at the end of 2008. Overall rates of myocardial revascularization decreased by 15% between 2001 and 2008 �C percutaneous coronary intervention (PCI) decreased by 4%, while coronary artery bypass grafting (CABG) decreased by 38%.[1] The Australian Institute of Health and Welfare (AIHW) annual data suggest a 63% increase in PCI procedures in 10 years from 2000�C2001 (21?591 procedures) to 2009�C2010 (35?851 procedures). The increase has plateaued somewhat, with only a 4.5% increase in the last 5 years. CABG procedures decreased by 25% in a linear fashion over the same period to 2009�C2010 (12?375 procedures; Fig.?1). PCI surpassed CABG as the most common revascularization procedure in Australia in 1997�C1998.[2] There are two Australian registries for PCI and CABG �C the Melbourne http://www.selleck.cn/products/cobimetinib-gdc-0973-rg7420.html Intervention Group (MIG, 7 Victorian public hospitals) and the Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS, 21 out of 24 Australian public hospitals, 6 private hospitals offering cardiac surgery), respectively. Progress is underway to form a national registry that would include all hospitals offering CABG and PCI.[3] MIG reported an increase in the overall number of PCI procedures performed between 2004 and 2007, and a greater proportion of all PCIs performed were urgent (overall decrease in elective PCI).[4] The use of DES decreased from 53.9% to 39%. ANZSCTS reported a decrease in the total number of isolated CABG performed in six Victorian hospitals between 2001 and 2006.[5] Patients were older and had a greater number of co-morbidities �C nonetheless, 30-day mortality for isolated CABG (including emergency procedures) remained low (1.5�C2.2%).