Why the study?
Do minimally invasive surgical approaches improve long-term survival and freedom from MI and TVR compared to first- and second-generation DES in patients with left main or proximal LAD disease?
Do minimally invasive surgical approaches improve long-term survival and freedom from MI and TVR compared to first- and second-generation DES in patients with left main or proximal LAD disease?
Minimally invasive surgical revascularization for left main or proximal LAD disease provides superior long-term clinical outcomes compared to first- and second-generation drug-eluting stents.
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May influence revascularization choices for left main/proximal LAD disease; extends Level 1 evidence favoring surgery over first- or second-generation DES.
Surgical approaches to left main or proximal left anterior descending disease remain superior to first- or second-generation DES in terms of long-term freedom from MI and target vessel revascularization as well as improved overall long-term survival. Conflicting rates of late MI and target vessel revascularization in patients who underwent MIDCAB suggest disease in alternate vessels that may best be approached via hybrid techniques.
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Indja et al. (2019) studied this question.
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