Left main percutaneous coronary intervention versus coronary artery bypass surgery: A case of true equivalence in low and intermediate complexity anatomy or a question yet to be answered?

2020 ◽  
Vol 308 ◽  
pp. 45-47
Author(s):  
David E. Barton ◽  
Michalis Hamilos ◽  
Yiannis S. Chatzizisis
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Coronary Artery ◽  
Coronary Artery Bypass ◽  
Coronary Artery Bypass Surgery ◽  
Bypass Surgery ◽  
Artery Bypass ◽  
Coronary Intervention ◽  
Left Main ◽  
Intermediate Complexity ◽  
Percutaneous Coronary

scholarly journals Staged Percutaneous Coronary Intervention with Rotational Atherectomy or Bypass Surgery in Chronic Hemodialysis and Severely Calcified Left Main True Bifurcation Lesion: A Case Report and Literature Review

2020 ◽  
Vol 14 ◽  
pp. 117954682095179
Author(s):  
Kazuhiro Dan ◽  
Akira Shinoda ◽  
Hector M Garcia-Garcia
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Coronary Artery ◽  
Coronary Artery Bypass ◽  
Bypass Surgery ◽  
Artery Bypass ◽  
Coronary Intervention ◽  
Chronic Hemodialysis ◽  
Rotational Atherectomy ◽  
Left Main ◽  
Percutaneous Coronary

Previous observational studies and meta-analyses reported that the optimal strategy of coronary revascularization (percutaneous coronary intervention [PCI] and bypass surgery) for anatomically complex coronary artery lesions in the chronic hemodialysis setting is still controversial because the long-term outcomes were superior with coronary artery bypass grafting, especially with regard to repeat revascularization; however, short-term mortality with PCI was significantly lower because it is less invasive. Moreover, no guidelines show a strategy for this setting. We report the case of a patient with chronic dialysis and calcified left main true bifurcation lesion who underwent staged PCI with rotational atherectomy and minimally invasive direct coronary artery bypass for in-stent restenosis who died of non-occlusive mesenteric ischemia.

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