The Contemporary Management of Left Main Coronary Artery Disease
CURRENT CARDIOLOGY REVIEWS(2022)
摘要
The 'gold standard' in the management of left main coronary artery disease has historically been coronary artery bypass surgery. Recent innovations in drug-eluting stent technology coupled with the increasing utility of physiology and imaging guidance for procedures have led to an evolving role of percutaneous coronary intervention in left main disease of low and intermediate anatomical complexity. This revascularization modality carries the clear advantage of being less invasive and significantly reduced recovery times. This practice is currently supported by international guidelines, however, it remains a controversial topic in the field of interventional cardiology, and the long-term outcomes of a percutaneous strategy have been questioned.
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关键词
Left main coronary artery disease, percutaneous coronary intervention, coronary artery bypass graft surgery, left main coronary interventions, intravascular imaging, revascularization of stable coronary artery
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