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.
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.
Indja et al. (Thu,) studied this question.