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References cited with the papers were also checked to identify relevant articles.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In all, four randomized controlled trials, two prospective registries, and 11 retrospective studies were identified for review. Pooled analysis demonstrated that<jats:styled-content style=\"fixed-case\">DES<\/jats:styled-content>was associated with lower all\u2010cause mortality at Day 30. However, there was no significant difference between<jats:styled-content style=\"fixed-case\">CABG<\/jats:styled-content>and<jats:styled-content style=\"fixed-case\">DES<\/jats:styled-content>in mortality at 12 months and at maximum follow\u2010up. Furthermore,<jats:styled-content style=\"fixed-case\">DES<\/jats:styled-content>was associated with lower overall and major adverse cardiac and cerebrovascular events (<jats:styled-content style=\"fixed-case\">MACCE<\/jats:styled-content>)\u2010free survival, as well as a higher incidence of myocardial infarction and repeat revascularization. In contrast,<jats:styled-content style=\"fixed-case\">CABG<\/jats:styled-content>was associated with an increased risk of stroke.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>For patients with diabetes mellitus and severe<jats:styled-content style=\"fixed-case\">CAD<\/jats:styled-content>,<jats:styled-content style=\"fixed-case\">CABG<\/jats:styled-content>is superior to<jats:styled-content style=\"fixed-case\">DES<\/jats:styled-content>in that it significantly improves overall and<jats:styled-content style=\"fixed-case\">MACCE<\/jats:styled-content>\u2010free survival and reduces the incidence of myocardial infarction and repeat revascularization in the long term, although it is associated with greater perioperative risk and a higher incidence of stroke. 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