Back close

Left Main Stenting : Special Reference to Atherosclerotic and Non Atherosclerotic Indications

Publication Type : Journal Article

Thematic Areas : Medical Sciences

Publisher : IHJ

Source : IHJ, Volume 54 (2002)

Campus : Kochi

School : School of Medicine

Department : Cardiology

Year : 2002

Abstract : For several decades, coronary artery bypass grafting (CABG) has been considered as the gold standard treatment of unprotected left main coronary artery (LMCA) disease. The marked improvement in technique and technology makes percutaneous coronary interventions (PCIs) feasible for patients with unprotected LMCA stenosis. The recent introduction of drug-eluting stents (DESs), together with advances in periprocedural and postprocedural adjunctive pharmacotherapies, has improved outcomes of PCIs of these lesions. Recent studies comparing efficacy and safety of PCIs using drug-eluting stents and CABG revealed comparable results in terms of safety and a lower need for repeat revascularisation for CABG. Patient selection for both the techniques directly impacts clinical outcome. Despite improvement in stent technology and operator experience, management can be challenging especially in LMCA bifurcation lesions and, therefore, an integrated approach combining advanced devices, tailored techniques, adjunctive support of physiological evaluation, and adjunctive pharmacological agents should be reinforced to improve clinical outcome.

Cite this Research Publication : Praveen G. Pai, kumar, V., B. V. Pai, P. Kamath, Mahesh, N. K., and K. K. Haridas, “Left Main Stenting : Special Reference to Atherosclerotic and Non Atherosclerotic Indications”, IHJ, vol. 54, 2002.

Admissions Apply Now