PERCUTANEOUS INTERVENTION OR CORONARY ARTERY BYPASS GRAFTING FOR LEFT MAIN STEM CORONARY ARTERY DISEASE? A META-ANALYSIS

Comparison of Coronary Artery Bypass Grafting with Percutaneous Coronary Intervention for Unprotected Left Main Coronary Artery Disease

PURPOSE Coronary artery bypass grafting (CABG) is the optimal treatment option for left main coronary artery disease (LMCAD). However, LMCAD remains a constant topic of discussion between cardiac surgeons and interventional cardiologists. The aim of this study was to assess the efficacy of LMCAD treatments by comparing the mid-term outcomes of CABG and percutaneous coronary intervention (PCI) u...

Percutaneous Coronary Intervention versus Coronary Artery Bypass Grafting in Patients with Diabetic Nephropathy and Left Main Coronary Artery Disease.

BACKGROUND Patients with diabetic nephropathy and unprotected left main (LM) coronary artery disease suffer from high cardiovascular morbidity and mortality. Although surgical revascularization is currently recommended in this special patient population, the optimal revascularization method for this distinct patient group has remained unclear. METHODS We collected 99 consecutive patients with...

Percutaneous coronary intervention or coronary artery bypass graft for unprotected left main coronary artery disease: the endless debate.

(Total Occlusion Study of Canada) trial (24), a substudy of the OAT study, there was a trend toward more favorable remodeling. The results of the OAT study do not prove or disprove the benefits of late revascularization in patients similar to the patients in the OAT study and certainly do not apply to the entirety of post-AMI patients. Unfortunately, despite the efforts of investigators like th...

Drug-eluting stent for left main coronary artery disease. The DELTA registry: a multicenter registry evaluating percutaneous coronary intervention versus coronary artery bypass grafting for left main treatment.

OBJECTIVES The aim of this study was to compare, in a large all-comers registry, major adverse cardiac and cerebrovascular events (MACCE) after percutaneous coronary intervention (PCI) with first-generation drug-eluting stents (DES) versus coronary artery bypass grafting (CABG) in unprotected left main coronary artery (ULMCA) stenosis. BACKGROUND Percutaneous coronary intervention with DES im...

Percutaneous Coronary Intervention Using Drug-Eluting Stents Versus Coronary Artery Bypass Grafting for Unprotected Left Main Coronary Artery Stenosis