Key result
Percutaneous coronary intervention is an acceptable alternative to coronary artery bypass grafting for left main coronary artery disease in patients with low and intermediate Syntax scores.
Why the study?
Is percutaneous coronary intervention an acceptable alternative to coronary artery bypass grafting in patients with left main coronary artery disease and low to intermediate Syntax scores?
Is percutaneous coronary intervention an acceptable alternative to coronary artery bypass grafting in patients with left main coronary artery disease and low to intermediate Syntax scores?
Advances in stenting strategies and drug-eluting stents have established PCI as a safe and effective alternative to CABG for left main coronary artery disease in patients with low to intermediate Syntax scores.
Supports PCI consideration in low- to intermediate-SYNTAX left main disease; leaves open need for updated randomized confirmation.
Percutaneous coronary intervention of the left main coronary artery has evolved through registries and meta analyses, supported by results from the EXCEL [Everolimus-Eluting Stents (EES) or Bypass Surgery for Left Main Coronary Artery Disease] and NOBLE (Percutaneous Coronary Angioplasty versus Coronary Artery Bypass Grafting in Treatment of Unprotected Left Main Stenosis) trials as an acceptable alternative to coronary artery bypass grafting in patients with low and intermediate Syntax scores. Advances in stenting strategies and the availability of larger diameter drug-eluting stents improve patient safety and optimize procedural and patient outcomes.
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Rab et al. (2018) conducted a review in Left Main Coronary Artery Disease. Percutaneous coronary intervention vs. Coronary artery bypass grafting was evaluated. Percutaneous coronary intervention is an acceptable alternative to coronary artery bypass grafting for left main coronary artery disease in patients with low and intermediate Syntax scores.
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