Why the study?
Does PCI using DES provide similar long-term clinical outcomes compared to CABG in patients with unprotected left main bifurcation disease?
Does PCI using DES provide similar long-term clinical outcomes compared to CABG in patients with unprotected left main bifurcation disease?
PCI with drug-eluting stents offers similar long-term clinical outcomes to CABG for unprotected left main bifurcation disease, though it is associated with a higher risk of repeat revascularization.
Supports PCI with DES in unprotected left main bifurcation disease; hypothesis-generating pending randomized confirmation of TVR differences.
In patients with unprotected left main bifurcation disease, PCI using DES provides similar long-term (up to 5.2 years) clinical outcomes except for TVR compared with CABG. Complex and simple stenting yielded similar outcomes except for a higher TVR rate in complex stenting.
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Chang et al. (2012) studied this question.
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