Watch again our Webinar on “Left Main Coronary Disease Controversy After EXCEL 5 Years” on our Youtube account. We are interested in your opinion. Please, leave your comments, thoughts, questions, etc., below. They will be most welcome.
Ideal Area for Unprotected Left Main PCI
Courtesy of Dr. Carlos Fava. Unprotected left main PCI (PCI-UPLMS) is an acceptable and comparable strategy vs CABG, although the use of IVUS is advisable, since it has shown better evolution and mortality. However, the adequate stent expansion remains unclear. Researchers carried out a sub-analyzis of the NOBLE trial. Of the total 603 patients receiving<a href="https://solaci.org/en/2020/07/24/ideal-area-for-unprotected-left-main-pci/" title="Read more" >...</a>
Is the Use of iFR for the Deferral of Left Main Coronary Artery Lesions Safe?
Deferral of left main coronary artery lesions using instantaneous wave-free ratio (iFR) seems to be safe. At the least, patients with deferred lesions had similar long-term prognosis to that of patients who underwent revascularization based on that same indicator. Left main coronary artery lesions were universally excluded from studies including medical treatment among the therapeutic<a href="https://solaci.org/en/2020/06/23/is-the-use-of-ifr-for-the-deferral-of-left-main-coronary-artery-lesions-safe/" title="Read more" >...</a>
Webinar SOLACI | Left Main Coronary Artery PCI 360°: Clinical Case, Technique and Evidence
Check out our Webinar on “Left Main Coronary Artery PCI 360°: Clinical Case, Technique and Evidence” on our Youtube account. The event was promoted by the areas of ProEducar, SOLACI Research and SOLACI Sessions, and included the participation of prominent Latin American interventionists. In addition, a complex clinical case was presented on Left Main PCI<a href="https://solaci.org/en/2020/06/22/webinar-solaci-left-main-coronary-artery-pci-360-clinical-case-technique-and-evidence/" title="Read more" >...</a>
SOLACI Webinar – 18/06- Left Main Coronary Artery PCI 360: Clinical Case, Technique and Evidence
We are interested in your opinion. Please, leave your comments, thoughts, questions, etc., below. They will be most welcome.
IVUS in Left Main Coronary Artery Angioplasty: Luxury or Necessity?
Technique advancements in left main coronary artery angioplasty have turned this procedure into a reasonable alternative to surgery, particularly in patients with a low or intermediate Syntax score and, obviously, those in whom surgery was contraindicated. Results can be credited to a refinement in technique, better drug-eluting stents, better patient selection, and frequent use of<a href="https://solaci.org/en/2020/04/15/ivus-in-left-main-coronary-artery-angioplasty-luxury-or-necessity/" title="Read more" >...</a>
Virtual ACC 2020 | PRECOMBAT: 10 Years for Surgery vs. Angioplasty in Left Main Coronary Artery Disease
After 10 years of follow-up, there were no significant differences in the rates of major adverse cardiovascular or cerebrovascular events among patients with left main coronary artery disease randomized to angioplasty or surgery. Since this was the first study to randomize patients with left main coronary artery disease to angioplasty or surgery, it enrolled very few<a href="https://solaci.org/en/2020/04/02/virtual-acc-2020-precombat-10-years-for-surgery-vs-angioplasty-in-left-main-coronary-artery-disease/" title="Read more" >...</a>
Repeat Revascularization Is Not Benign, at Least in Left Main Disease
After the “EXCEL scandal” at the end of last year, study investigators have been publishing explanations and sub-studies that were planned from the beginning, but which can still be interpreted as explanations. This sub-study states that revascularization was more common in the angioplasty arm, but only revascularizations performed on the target lesion, regardless of the<a href="https://solaci.org/en/2020/02/07/repeat-revascularization-is-not-benign-at-least-in-left-main-disease/" title="Read more" >...</a>
TCT 2019 | EXCEL: Left Main Coronary Artery Angioplasty with Favorable Results at 5 Years
Courtesy of Dr. Carlos Fava. Unprotected left main coronary artery angioplasty with drug-eluting stents has emerged as an acceptable strategy for a select group of patients, with results comparable to those of myocardial revascularization surgery at 2 or 3 years. However, beyond such term, we had no valid information. Researchers analyzed the 5-year follow-up results for the<a href="https://solaci.org/en/2019/10/01/tct-2019-excel-left-main-coronary-artery-angioplasty-with-favorable-results-at-5-years/" title="Read more" >...</a>
TCT 2019 | IDEAL-LM: Bioabsorbable Polymer DES vs. Permanent Polymer DES for Left Main Stenosis
Courtesy of SBHCI. This study showed that using the everolimus eluting stent with bioabsorbable polymer Synergy followed by 4 months of dual antiplatelet therapy (DAPT) to treat left main stenosis (LMS) was safe and effective, compared against using the everolimus eluting stent with permanent polymer Xience followed by the conventional 12 months DAPT. This study<a href="https://solaci.org/en/2019/09/30/tct-2019-ideal-lm-bioabsorbable-polymer-des-vs-permanent-polymer-des-for-left-main-stenosis/" title="Read more" >...</a>