My Approach to the Patient With Left Main Disease

Coronary artery bypass graft surgery (CABG) has historically been recommended over percutaneous coronary artery intervention (PCI) as the preferred revascularization strategy for patients with significant unprotected left main coronary artery disease (CAD). However, PCI has more recently become a treatment option in selected patients with left main CAD who do not have extensive or complex CAD in the other coronary arteries. When equipoise is present, the 30-day rates for death, myocardial infarction (MI), and stroke will be lower with PCI, and CABG will have a higher risk for bleeding and infection and longer hospital and recovery times.
Source: Trends in Cardiovascular Medicine - Category: Cardiology Authors: Tags: MY APPROACH Source Type: research