Left Main Coronary Artery Disease-Current Management and Future Perspectives

Overview

Journal J Clin Med

Specialty General Medicine

Date 2022 Oct 14

PMID 36233613

Authors

Emil Julian Dabrowski

Marcin Kozuch

Slawomir Dobrzycki

Affiliations

Soon will be listed here.

Abstract

Due to its anatomical features, patients with an obstruction of the left main coronary artery (LMCA) have an increased risk of death. For years, coronary artery bypass grafting (CABG) has been considered as a gold standard for revascularization. However, notable advancements in the field of percutaneous coronary intervention (PCI) led to its acknowledgement as an important treatment alternative, especially in patients with low and intermediate anatomical complexity. Although recent years brought several random clinical trials that investigated the safety and efficacy of the percutaneous approach in LMCA, there are still uncertainties regarding optimal revascularization strategies. In this paper, we provide a comprehensive review of state-of-the-art diagnostic and treatment methods of LMCA disease, focusing on percutaneous methods.

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