Left main coronary artery percutaneous revascularization: alea jacta est
.special th, .special td { vertical-align: text-top; } ABSTRACT For many years, left main coronary artery disease has remained as the last frontier resisting percutaneous coronary intervention. Until recently, the most relevant clinical studies in this regard as well as clinical practice guidelines...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Permanyer
2021-02-01
|
| Series: | REC: Interventional Cardiology (English Ed.) |
| Subjects: | |
| Online Access: | https://recintervcardiol.org/en/index.php?option=com_content&view=article&id=559 |
| _version_ | 1818873493185363968 |
|---|---|
| author | Fernando Lozano Ruiz-Poveda José Abellán-Huerta Ignacio Sánchez-Pérez |
| author_facet | Fernando Lozano Ruiz-Poveda José Abellán-Huerta Ignacio Sánchez-Pérez |
| author_sort | Fernando Lozano Ruiz-Poveda |
| collection | DOAJ |
| description | .special th, .special td { vertical-align: text-top; } ABSTRACT For many years, left main coronary artery disease has remained as the last frontier resisting percutaneous coronary intervention. Until recently, the most relevant clinical studies in this regard as well as clinical practice guidelines favored surgical revascularization almost as the only treatment pathway for the management of this condition. The changes that have occurred over the last 10 to 15 years since the appearance of drug-eluting stents and their technological advances have been extraordinary. This, added to the publication of randomized clinical trials that compared both revascularization modalities, has placed percutaneous coronary interventions at a similar level to surgery in a large number of patients. The anatomical, technical, and strategic aspects are essential for the percutaneous management of left main coronary artery lesions given their tremendous clinical variability. In this article we will be reviewing their anatomy, angiography, intracoronary diagnostic techniques, and different percutaneous revascularization strategies. As long as future clinical studies do not definitively favor percutaneous over surgical revascularization or vice versa, individual discussions on each particular case by the heart team and our patients’ preferences should guide our clinical decision-making process. |
| first_indexed | 2024-12-19T12:55:35Z |
| format | Article |
| id | doaj.art-318e9d89cc2144de9728538a55c6eacd |
| institution | Directory Open Access Journal |
| issn | 2604-7322 |
| language | English |
| last_indexed | 2024-12-19T12:55:35Z |
| publishDate | 2021-02-01 |
| publisher | Permanyer |
| record_format | Article |
| series | REC: Interventional Cardiology (English Ed.) |
| spelling | doaj.art-318e9d89cc2144de9728538a55c6eacd2022-12-21T20:20:23ZengPermanyerREC: Interventional Cardiology (English Ed.)2604-73222021-02-0131455410.24875/RECICE.M20000179Left main coronary artery percutaneous revascularization: alea jacta estFernando Lozano Ruiz-Poveda0José Abellán-Huerta1Ignacio Sánchez-Pérez2Sección de Hemodinámica, Servicio de Cardiología, Hospital General Universitario de Ciudad Real, Ciudad Real, SpainSección de Hemodinámica, Servicio de Cardiología, Hospital General Universitario de Ciudad Real, Ciudad Real, SpainSección de Hemodinámica, Servicio de Cardiología, Hospital General Universitario de Ciudad Real, Ciudad Real, Spain.special th, .special td { vertical-align: text-top; } ABSTRACT For many years, left main coronary artery disease has remained as the last frontier resisting percutaneous coronary intervention. Until recently, the most relevant clinical studies in this regard as well as clinical practice guidelines favored surgical revascularization almost as the only treatment pathway for the management of this condition. The changes that have occurred over the last 10 to 15 years since the appearance of drug-eluting stents and their technological advances have been extraordinary. This, added to the publication of randomized clinical trials that compared both revascularization modalities, has placed percutaneous coronary interventions at a similar level to surgery in a large number of patients. The anatomical, technical, and strategic aspects are essential for the percutaneous management of left main coronary artery lesions given their tremendous clinical variability. In this article we will be reviewing their anatomy, angiography, intracoronary diagnostic techniques, and different percutaneous revascularization strategies. As long as future clinical studies do not definitively favor percutaneous over surgical revascularization or vice versa, individual discussions on each particular case by the heart team and our patients’ preferences should guide our clinical decision-making process.https://recintervcardiol.org/en/index.php?option=com_content&view=article&id=559Coronary artery disease Left main coronary artery Percutaneous coronary intervention Coronary artery bypass graft |
| spellingShingle | Fernando Lozano Ruiz-Poveda José Abellán-Huerta Ignacio Sánchez-Pérez Left main coronary artery percutaneous revascularization: alea jacta est REC: Interventional Cardiology (English Ed.) Coronary artery disease Left main coronary artery Percutaneous coronary intervention Coronary artery bypass graft |
| title | Left main coronary artery percutaneous revascularization: alea jacta est |
| title_full | Left main coronary artery percutaneous revascularization: alea jacta est |
| title_fullStr | Left main coronary artery percutaneous revascularization: alea jacta est |
| title_full_unstemmed | Left main coronary artery percutaneous revascularization: alea jacta est |
| title_short | Left main coronary artery percutaneous revascularization: alea jacta est |
| title_sort | left main coronary artery percutaneous revascularization alea jacta est |
| topic | Coronary artery disease Left main coronary artery Percutaneous coronary intervention Coronary artery bypass graft |
| url | https://recintervcardiol.org/en/index.php?option=com_content&view=article&id=559 |
| work_keys_str_mv | AT fernandolozanoruizpoveda leftmaincoronaryarterypercutaneousrevascularizationaleajactaest AT joseabellanhuerta leftmaincoronaryarterypercutaneousrevascularizationaleajactaest AT ignaciosanchezperez leftmaincoronaryarterypercutaneousrevascularizationaleajactaest |