Not medical advice. This site is general information only. In an emergency call your local emergency number. For advice about your own health, speak to a doctor, pharmacist or other qualified health professional.

FREEDOM

TreatmentCardiology2012
PurposeTreatment
FieldCardiology
Year2012
Key FindingBypass surgery beats stents for diabetics with multivessel disease

About the Trial

The Future Revascularization Evaluation in Patients with Diabetes Mellitus trial randomized 1,900 diabetic patients with multivessel disease to CABG or drug eluting stents. Surgery reduced the primary composite of death, heart attack, or stroke at 5 years, 18.7 versus 26.6 percent, driven by lower death and heart attack, at the cost of more stroke. The benefit consolidated over time. FREEDOM combined with SYNTAX to establish that diabetic multivessel disease generally favors surgery. Diabetes became a decisive factor in revascularization strategy, and heart teams routinely weigh it when choosing between PCI and CABG.

Related Trials