Why the study?
Randomised trials and meta-analyses comparing CABG versus PCI for left main coronary artery disease have yielded controversial results, making revascularisation strategy challenging.
Does percutaneous coronary intervention improve outcomes compared to coronary artery bypass grafting surgery in patients with left main coronary artery disease?
Population
Patients with left main coronary artery disease
Comparison
CABG vs PCI
Design
Review
Authors
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Heart-team individualization of PCI versus CABG should continue; leaves open OMT safety in low-risk intermediate LMCAD and contemporary DES durability.
Does percutaneous coronary intervention improve outcomes compared to coronary artery bypass grafting surgery in patients with left main coronary artery disease?
PCI is a feasible alternative to CABG for left main coronary artery disease in selected patients, especially those with high surgical risk or contraindications to surgery.
Torres-Ruiz et al. (2023) studied this question.
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