Coronary artery bypass surgery or drug eluting stent for unprotected left main coronary artery disease.
نویسندگان
چکیده
Coronary artery bypass surgery (CABG) is the treatment of choice in unprotected left main coronary artery disease (ULMCA). However drug eluting stent (DES) implantations in ULMCA have ushered a revolution in the field of percutaneous coronary interventions (PCI) for left main coronary artery (LMCA) by reducing peri-procedural mortality and incidence of major adverse cardiac events (MACE). More randomized trials and follow-up studies are required before PCI with DES can be chosen as alternative to CABG.
منابع مشابه
Acute and Long Term Outcomes of Coronary Intervention in Unprotected Left Main Lesions
Introduction : Significant left main coronary artery stenosis jeopardizes the entire myocardium of the left ventricle and has the worst prognosis of any form of coronary artery disease. Coronary-artery bypass grafting (CABG) has been considered as the standard therapeutic approach for such patients. There are limited data on the safety and effectiveness of percutaneous coronary intervention (PC...
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t has been five years since our last editorial in the Journal egarding the role of stenting in the treatment of unproected left main coronary artery disease. In the intervening ime, the landscape of coronary stenting has changed ramatically. In particular, the advent of drug-eluting stents DES) in mid-2003 has pushed the rate of clinical restenosis elow 5% for most lesion types (1,2). The effec...
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While the standard revascularization for left main lesions traditionally has been surgical coronary artery bypass grafting, increasingly studies suggest that percutaneous coronary intervention (PCI) with drug-eluting stents (DES) may be an acceptable alternative to surgery for selected patients. In total, the current evidence suggests that rates of death, myocardial infarction, and stroke may b...
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Significant narrowing of the left main coronary artery is a high-risk condition with significant mortality risk. Bypass surgery is the current gold-standard treatment for unprotected left main (ULM) disease. Stenting utilizing drug-eluting stents (DES) is another therapeutic option for patients with ULM disease considered too high risk for bypass surgery or for patients who simply refuse bypass...
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ورودعنوان ژورنال:
- The Journal of the Association of Physicians of India
دوره 55 شماره
صفحات -
تاریخ انتشار 2007