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Review
. 2019 Nov 18;14(3):124-130.
doi: 10.15420/icr.2019.10.R2. eCollection 2019 Nov.

Left Main Coronary Artery Interventions

Mirvat Alasnag  1 , Lina Yaqoub  2 , Ammar Saati  3 , Khaled Al-Shaibi  1
Affiliations
Review

Left Main Coronary Artery Interventions

Mirvat Alasnag et al. Interv Cardiol. .

Abstract

The management of left main coronary artery (LMCA) disease has evolved over the past two decades. Historically, coronary artery bypass grafting (CABG) surgery has been the gold standard for the treatment of LMCA disease. However, with the advancements in percutaneous coronary interventions (PCIs) and stent technology, PCI in select patients has achieved comparable outcomes to CABG. As such, this has led to changes in the American College of Cardiology and European Society of Cardiology guidelines, which recommend that PCI might be an alternative to CABG in select patients. In this review article, we describe the historical perspective and early experience with coronary interventions of LMCA disease, landmark clinical trials and their effect on guidelines, and the role of intravascular imaging in the management of LMCA lesions.

Keywords: Left main coronary artery disease; coronary artery bypass graft surgery; intravascular imaging; left main coronary interventions; percutaneous coronary intervention.

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Conflict of interest statement

Disclosure: The authors have no conflicts of interest to declare.

Figures

Figure 1:
Figure 1:. Comparison of Major Adverse Cardiac and Cerebrovascular Events Between Percutaneous Coronary Intervention and Coronary Artery Bypass Grafts
Figure 2:
Figure 2:. Comparison of Death, MI and Cerebrovascular Accident (and Their Composite) and Repeat Revascularisation between Percutaneous Coronary Intervention and Coronary Artery Bypass Grafts
See this image and copyright information in PMC

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