Percutaneous unprotected left main coronary artery interventions - updated results and current recommendations

Alfonso Ielasi, Alaide Chieffo

Research output: Contribution to journalArticlepeer-review

Abstract

Current guidelines recommend coronary artery bypass grafting (CABG) as the treatment of choice for patients who have unprotected left main coronary artery disease (ULMCA). Several registries and two randomised controlled clinical trials have shown that hard end-points such as cardiac death, myocardial infarctions and cerebrovascular events are similar following percutaneous coronary intervention (PCI) with drug-eluting stent (DES) implantation compared with CABG. However, current American and European guidelines do not endorse PCI as an appropriate alternative to CABG for patients with ULMCA. In this article we review the current evidence on PCI with DES for ULMCA stenosis treatment and propose future directions in this evolving topic of great interest.

Original languageEnglish
Pages (from-to)44-50
Number of pages7
JournalInterventional Cardiology
Volume6
Issue number1
Publication statusPublished - Apr 2011

Keywords

  • Angioplasty
  • Coronary artery bypass graft
  • Drug-eluting stent
  • Unprotected left main

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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