Left Main Coronary Artery Interventions

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) an...

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Autores principales:	Mirvat Alasnag, Lina Yaqoub, Ammar Saati, Khaled Al-Shaibi
Formato:	article
Lenguaje:	EN
Publicado:	Radcliffe Medical Media 2019
Materias:	Surgery RD1-811 Diseases of the circulatory (Cardiovascular) system RC666-701
Acceso en línea:	https://doaj.org/article/81868d3516da463f976ef6c5c95706a9
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spelling	oai:doaj.org-article:81868d3516da463f976ef6c5c95706a92021-12-04T16:01:58ZLeft Main Coronary Artery Interventions10.15420/icr.2019.10.R21756-14851756-1477https://doaj.org/article/81868d3516da463f976ef6c5c95706a92019-11-01T00:00:00Zhttps://www.icrjournal.com/articles/Left-Main-Coronary-Artery-Interventionshttps://doaj.org/toc/1756-1477https://doaj.org/toc/1756-1485The 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.Mirvat AlasnagLina YaqoubAmmar SaatiKhaled Al-ShaibiRadcliffe Medical MediaarticleSurgeryRD1-811Diseases of the circulatory (Cardiovascular) systemRC666-701ENInterventional Cardiology: Reviews, Research, Resources, Vol 14, Iss 3, Pp 124-130 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Surgery RD1-811 Diseases of the circulatory (Cardiovascular) system RC666-701
spellingShingle	Surgery RD1-811 Diseases of the circulatory (Cardiovascular) system RC666-701 Mirvat Alasnag Lina Yaqoub Ammar Saati Khaled Al-Shaibi Left Main Coronary Artery Interventions
description	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.
format	article
author	Mirvat Alasnag Lina Yaqoub Ammar Saati Khaled Al-Shaibi
author_facet	Mirvat Alasnag Lina Yaqoub Ammar Saati Khaled Al-Shaibi
author_sort	Mirvat Alasnag
title	Left Main Coronary Artery Interventions
title_short	Left Main Coronary Artery Interventions
title_full	Left Main Coronary Artery Interventions
title_fullStr	Left Main Coronary Artery Interventions
title_full_unstemmed	Left Main Coronary Artery Interventions
title_sort	left main coronary artery interventions
publisher	Radcliffe Medical Media
publishDate	2019
url	https://doaj.org/article/81868d3516da463f976ef6c5c95706a9
work_keys_str_mv	AT mirvatalasnag leftmaincoronaryarteryinterventions AT linayaqoub leftmaincoronaryarteryinterventions AT ammarsaati leftmaincoronaryarteryinterventions AT khaledalshaibi leftmaincoronaryarteryinterventions
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Left Main Coronary Artery Interventions

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