Left main coronary artery disease: when and how to perform PCI?

Abstract:

:Left main coronary artery (LMCA) disease has been reported in up to 10% of all patients with coronary artery disease (CAD) and in the majority of cases are associated with severe three-vessel CAD. Among patients with chronic coronary syndrome revascularization of significant LMCA disease improves prognosis, while there is a debate about which revascularization strategy, CABG surgery or percutaneous coronary interventions to use. We do a review of the available evidence about the impact of LMCA lesions on patient prognosis according to CAD extension and clinical presentation, the outcome after percutaneous or surgical revascularization, the procedural challenges of LMCA PCI and the available armamentarium to optimally treat this relevant population.

journal_name

Minerva Cardioangiol

authors

Chiarito M,Mehilli J

doi

10.23736/S0026-4725.20.05198-1

subject

Has Abstract

pub_date

2020-10-01 00:00:00

pages

405-414

issue

5

eissn

0026-4725

issn

1827-1618

pii

S0026-4725.20.05198-1

journal_volume

68

pub_type

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