Left Main Coronary Artery Disease Revascularization According to the SYNTAX Score

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Revascularization of left main coronary artery disease.

Coronary artery disease with left main stenosis is associated with the highest mortality of any coronary lesion. Studies in the 1970s and 1980s comparing coronary artery bypass grafting (CABG) and medical therapy showed a significant survival benefit with revascularization. In the angioplasty era, initial experience with percutaneous intervention was associated with poor clinical outcomes. As a...

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Revascularization strategies in multivessel and left main coronary artery disease: SYNTAX and beyond.

D espite tremendous medical progress over the last 20 years in the fields of conservative, interventional and surgical treatment, the selection of therapy in stable coronary artery disease (CAD) remains a challenge. Specifically, the optimal revascularization mode in complex CAD has been a matter of continuous debate between cardiologists and cardiac surgeons.1 Recent studies have elucidated so...

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[Left main coronary artery disease].

There are many causes of left main coronary artery disease, the first of which is atherosclerosis. Other rarer causes may be observed, such as acute and chronic occlusions, spasm and primary and secondary dissection. The prevalence of stenosis of the left main coronary artery at coronary angiography is about 5%. The risk factors are the same as for coronary artery disease. The symptoms are angi...

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Usefulness of the SYNTAX score for predicting clinical outcome after percutaneous coronary intervention of unprotected left main coronary artery disease.

BACKGROUND The SYNTAX score (SXscore) has been proposed recently as a valuable tool to characterize the coronary vasculature prospectively with respect to the number of lesions and their functional impact, location, and complexity. However, the prognostic value of SXscores in patients undergoing percutaneous coronary intervention of the left main artery has not been validated. METHODS AND RES...

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Midterm outcomes of simultaneous hybrid coronary artery revascularization for left main coronary artery disease.

BACKGROUND The purpose of this study was to evaluate the feasibility, safety, and midterm outcomes of a simultaneous hybrid revascularization strategy for left main coronary artery disease (LMCAD), compared with conventional off-pump coronary artery bypass grafting (OPCAB). METHODS We compared the in-hospital and midterm outcomes of a simultaneous hybrid revascularization strategy (minimally ...

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ژورنال

عنوان ژورنال: Circulation: Cardiovascular Interventions

سال: 2019

ISSN: 1941-7640,1941-7632

DOI: 10.1161/circinterventions.118.008007