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Review
. 2018 Mar 31;7(7):e008151.
doi: 10.1161/JAHA.117.008151.

Management of Left Main Coronary Artery Disease

Affiliations
Review

Management of Left Main Coronary Artery Disease

Ronnie Ramadan et al. J Am Heart Assoc. .
No abstract available

Keywords: coronary artery bypass graft surgery; coronary intervention; coronary revascularization; left main coronary artery disease.

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Figures

Figure 1
Figure 1
Proposed algorithm for heart team management of left main coronary artery (LM) disease. CABG indicates coronary artery bypass graft surgery; CTO, chronic total occlusion; DAPT, dual antiplatelet therapy; FFR, fractional flow reserve; IVUS, intravascular ultrasound; LAD, left anterior descending coronary artery; OMT, optimal medical therapy; PCI, percutaneous coronary intervention; STS, Society of Thoracic Surgeons.
Figure 2
Figure 2
Step‐by‐step illustration of the double kissing crush 2‐stent bifurcation technique.
Figure 3
Figure 3
Pooled analyses of randomized controlled trials comparing percutaneous coronary intervention using drug‐eluting stents with coronary artery bypass graft surgery in left main coronary artery revascularization. A, Pooled estimates of major adverse cardiac and cerebrovascular events. B, Pooled estimates of death. C, Pooled estimates of myocardial infarction. D, Pooled estimates of stroke. E, Pooled estimates of all repeat revascularization. CI, confidence interval; RR, relative risk. Please refer to text for complete trial names.

References

    1. Levine GN, Bates ER, Blankenship JC, Bailey SR, Bittl JA, Cercek B, Chambers CE, Ellis SG, Guyton RA, Hollenberg SM, Khot UN, Lange RA, Mauri L, Mehran R, Moussa ID, Mukherjee D, Nallamothu BK, Ting HH. 2011 ACCF/AHA/SCAI guideline for percutaneous coronary intervention: executive summary: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines and the Society for Cardiovascular Angiography and Interventions. Circulation. 2011;124:2574–2609. - PubMed
    1. Boden WE, O'Rourke RA, Teo KK, Hartigan PM, Maron DJ, Kostuk WJ, Knudtson M, Dada M, Casperson P, Harris CL, Chaitman BR, Shaw L, Gosselin G, Nawaz S, Title LM, Gau G, Blaustein AS, Booth DC, Bates ER, Spertus JA, Berman DS, Mancini GB, Weintraub WS. Optimal medical therapy with or without PCI for stable coronary disease. N Engl J Med. 2007;356:1503–1516. - PubMed
    1. Veterans Administration Coronary Artery Bypass Surgery Cooperative Study Group. Eleven‐year survival in the Veterans Administration randomized trial of coronary bypass surgery for stable angina. N Engl J Med. 1984;311:1333–1339. - PubMed
    1. Varnauskas E. Twelve‐year follow‐up of survival in the randomized European Coronary Surgery Study. N Engl J Med. 1988;319:332–337. - PubMed
    1. Conley MJ, Ely RL, Kisslo J, Lee KL, McNeer JF, Rosati RA. The prognostic spectrum of left main stenosis. Circulation. 1978;57:947–952. - PubMed

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