Left Main Coronary Artery Disease-Current Management and Future Perspectives

被引：17

作者：

Dabrowski, Emil Julian ^{[1
]}

Kozuch, Marcin ^{[1
]}

Dobrzycki, Slawomir ^{[1
]}

机构：

[1] Med Univ Bialystok, Dept Invas Cardiol, 24A Sklodowskiej Curie St, PL-15276 Bialystok, Poland

来源：

JOURNAL OF CLINICAL MEDICINE | 2022年 / 11卷 / 19期

关键词：

left main coronary artery; percutaneous coronary intervention; coronary artery bypass grafting; coronary artery disease; coronary revascularization; FRACTIONAL FLOW RESERVE; DRUG-ELUTING STENT; CHRONIC KIDNEY-DISEASE; INTRAVASCULAR ULTRASOUND ASSESSMENT; TERM CLINICAL-OUTCOMES; BYPASS GRAFT-SURGERY; DOUBLE KISSING CRUSH; WAVE-FREE RATIO; BIFURCATION LESIONS; FOLLOW-UP;

D O I：

10.3390/jcm11195745

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Due to its anatomical features, patients with an obstruction of the left main coronary artery (LMCA) have an increased risk of death. For years, coronary artery bypass grafting (CABG) has been considered as a gold standard for revascularization. However, notable advancements in the field of percutaneous coronary intervention (PCI) led to its acknowledgement as an important treatment alternative, especially in patients with low and intermediate anatomical complexity. Although recent years brought several random clinical trials that investigated the safety and efficacy of the percutaneous approach in LMCA, there are still uncertainties regarding optimal revascularization strategies. In this paper, we provide a comprehensive review of state-of-the-art diagnostic and treatment methods of LMCA disease, focusing on percutaneous methods.

引用

页数：20

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