Percutaneous coronary intervention versus coronary artery surgery for left main disease according to lesion site: a metanalysis

2021 ◽  
Author(s):  
Ovidio De Filippo ◽  
Antonino Di Franco ◽  
Paolo Boretto ◽  
Francesco Bruno ◽  
Vincenzo Cusenza ◽  
...  
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Coronary Artery ◽  
Coronary Intervention ◽  
Lesion Site ◽  
Left Main ◽  
Left Main Disease ◽  
Coronary Artery Surgery ◽  
Percutaneous Coronary

scholarly journals Stent Choice in Very Large Left Main Lesions in 3 Patients

2017 ◽  
Vol 44 (5) ◽  
pp. 353-356
Author(s):  
Iñigo Lozano ◽  
Juan Rondan ◽  
José M. Vegas ◽  
Eduardo Segovia
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Coronary Artery ◽  
Left Main Coronary Artery ◽  
Coronary Intervention ◽  
Percutaneous Treatment ◽  
Arterial Dissection ◽  
Left Main ◽  
Left Main Disease ◽  
Coronary Artery Stenting ◽  
Percutaneous Coronary

Interventionalists encounter widely different coronary anatomies during left main coronary artery stenting. Optimal percutaneous coronary intervention in left main disease necessitates stents that achieve adequate apposition and adapt to frequently disparate diameters in the same lesion, without the need for overexpansion. Until recently, stent designs have hampered the treatment of very large lesions in left main arteries. Postdilation of the stents beyond their recommended diameters can cause restenosis, thrombosis, or arterial dissection. We report successful angiographic outcomes after our deployment of different stents in 3 patients, present our rationale for choosing each stent, and discuss considerations that influence the percutaneous treatment of severe left main disease.

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