Current Interventions for the Left Main Bifurcation
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Elsevier Inc.
Abstract
Contemporary clinical trials, registries, and meta-analyses, supported by recent results from the EXCEL (Everolimus-Eluting Stents or Bypass Surgery for Left Main Coronary Artery Disease) and NOBLE (Percutaneous Coronary Angioplasty Versus Coronary Artery Bypass Grafting in Treatment of Unprotected Left Main Stenosis) trials, have established percutaneous coronary intervention of left main coronary stenosis as a safe alternative to coronary artery bypass grafting in patients with low and intermediate SYNTAX (Synergy Between Percutaneous Coronary Intervention With Taxus and Cardiac Surgery) scores. As left main percutaneous coronary intervention gains acceptance, it is imperative to increase awareness for patient selection, risk scoring, intracoronary imaging, vessel preparation, and choice of stenting techniques that will optimize procedural and patient outcomes. © 2017 American College of Cardiology Foundation
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Keywords
Bifurcation, Left main, Stenting techniques, Coronary angiography, Coronary artery bypass, Coronary artery disease, Drug-eluting stents, Humans, Patient selection, Percutaneous coronary intervention, Risk factors, Treatment outcome, Acute coronary syndrome, Coronary artery bypass graft, Coronary bifurcation lesion, Coronary stent, Coronary stenting, Diagnostic imaging, Functional assessment, Guiding catheter, Heart muscle revascularization, Human, Left coronary artery, Practice guideline, Preoperative evaluation, Priority journal, Review, Devices, Drug eluting stent, Mortality, Risk factor