Emergency PTCA or CABG for Left Main Disease?

Gill Louise Buchanan, Alaide Chieffo, Antonio Colombo

Research output: Chapter in Book/Report/Conference proceedingChapter


The unprotected left main coronary artery supplies a large territory of myocardium and consequently, acute occlusion can result in hemodynamic compromise, life-threatening arrhythmias, and sudden cardiac death. Prompt revascularization is essential in this setting to reduce the high risk of mortality. However, the optimal treatment strategy for patients presenting acutely due to a left main culprit lesion is uncertain, with current guidance regarding this complex patient subset remaining vague. This chapter reviews the current evidence and guidelines available for patients in this complex lesion subset with both ST-segment elevation and non-ST-segment elevation myocardial infarction.

Original languageEnglish
Title of host publicationUrgent Interventional Therapies
PublisherWiley Blackwell
Number of pages8
ISBN (Print)9781118504499, 9780470672020
Publication statusPublished - Nov 17 2014


  • Acute coronary syndrome
  • Coronary artery bypass grafting
  • Drug-eluting stents
  • Hemodynamic support
  • Non-ST-segment elevation myocardial infarction
  • Percutaneous coronary intervention
  • ST-segment elevation myocardial infarction
  • Unprotected left main coronary artery

ASJC Scopus subject areas

  • Medicine(all)


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