Revascularization Strategies for Stable Left Main Coronary Artery Disease: Analysis of Current Evidence

2021 ◽  
Author(s):  
Shashank Shekhar ◽  
Divyanshu Mohananey ◽  
Pedro Villablanca ◽  
Sudhi Tyagi ◽  
Juan A Crestanello ◽  
...  
Keyword(s):  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Left Main Coronary Artery ◽  
Current Evidence ◽  
Left Main ◽  
Main Coronary Artery Disease ◽  
Artery Disease ◽  
Disease Analysis

The Contemporary Management of Left Main Coronary Artery Disease

2021 ◽  
Vol 17 ◽  
Author(s):  
Jonathan A. Mailey ◽  
Mark S. Spence
Keyword(s):  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Left Main Coronary Artery ◽  
Artery Bypass ◽  
Current Evidence ◽  
Drug Eluting Stent ◽  
Left Main ◽  
Main Coronary Artery Disease ◽  
Current Evidence Base ◽  
Artery Disease

: The ‘gold standard’ in the management of left main coronary artery disease has historically been coronary artery bypass surgery. Recent innovations in drug-eluting stent technology coupled with the increasing utility of physiology and imaging guidance for procedures has led to an evolving role for percutaneous coronary intervention in left main disease of low and intermediate anatomical complexity. This revascularization modality carries the clear advantage of being less invasive and significantly reducing recovery times. This practice is currently supported by international guidelines. However, it remains a controversial topic in the field of interventional cardiology, and the longer-term outcomes from a percutaneous strategy have been questioned. This review describes the current evidence base for the assessment and choice of intervention in left main coronary artery disease. The percutaneous revascularization techniques and use of imaging to optimize procedures and improve clinical outcomes will be discussed.

Radial versus femoral artery access in patients undergoing PCI for left main coronary artery disease: analysis from the EXCEL trial

2018 ◽  
Vol 14 (10) ◽  
pp. 1104-1111 ◽  
Author(s):  
Shmuel Chen ◽  
Björn Redfors ◽  
Yangbo Liu ◽  
Ori Ben-Yehuda ◽  
Marie-Claude Morice ◽  
...  
Keyword(s):  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Femoral Artery ◽  
Left Main Coronary Artery ◽  
Left Main ◽  
Main Coronary Artery Disease ◽  
Artery Disease ◽  
Disease Analysis

Does an occluded RCA affect prognosis in patients undergoing PCI or CABG for left main coronary artery disease? Analysis from the EXCEL trial

2019 ◽  
Vol 15 (6) ◽  
pp. e531-e538
Author(s):  
Shmuel Chen ◽  
Dimitrios Karmpaliotis ◽  
Björn Redfors ◽  
Evan Shlofmitz ◽  
Ori Ben-Yehuda ◽  
...  
Keyword(s):  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Left Main Coronary Artery ◽  
Left Main ◽  
Main Coronary Artery Disease ◽  
Artery Disease ◽  
Disease Analysis
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