left main

Peri-Procedural Infarction in Angioplasty vs. Surgery in the Left Main Coronary Artery

According to the EXCEL trial, peri-procedural infarction was more common after left main coronary artery surgery compared with angioplasty, and it was strongly associated with increased 3-year mortality after controlling all possible confounding variables. This increased mortality was only present in extensive infarctions with an increase in CK-MB ≥10×. The EXCEL trial seems to want<a href="https://solaci.org/en/2019/07/05/peri-procedural-infarction-in-angioplasty-vs-surgery-in-the-left-main-coronary-artery/" title="Read more" >...</a>

¿Qué pasa cuando nos encandilamos con el tronco y no vemos el resto de las lesiones?

What Happens When We Are Blinded by Left Main Disease and Ignore All Other Lesions?

According to this recent Excel analysis, mortality seems to rise when the SYNTAX II score is not taken into account when defining the revascularization strategy. The difference does not reach statistical significance and further studies are required, but the message is clear: the left main coronary artery is not the only thing that matters; other<a href="https://solaci.org/en/2019/06/24/what-happens-when-we-are-blinded-by-left-main-disease-and-ignore-all-other-lesions/" title="Read more" >...</a>

acceso_radial

Radial Access Is Always Preferred, Even for Treatment of the Left Main Coronary Artery

The potential need for a 7-Fr guidewire, the use of several coronary guidewires and/or a kissing balloon, and the requirement of indispensable monitoring by intravascular ultrasound (IVUS) have been used by some interventional cardiologists as excuses to resist radial access. In that sense, left main coronary artery angioplasty was the last stand of femoral access.<a href="https://solaci.org/en/2019/01/04/radial-access-is-always-preferred-even-for-treatment-of-the-left-main-coronary-artery/" title="Read more" >...</a>

perforación coronaria en angioplastia

EXCEL Sub-Study: The Site of the Left Main Coronary Artery Lesion Does Not Alter History

The EXCEL study, originally presented at TCT 2016 and published simultaneously in the New England Journal of Medicine (NEJM), showed that angioplasty and surgery in patients with left main coronary artery disease have similar rates of mortality, infarction, and stroke at 3 years. This sub-study, recently published in J Am Coll Cardiol Intv, adds that the<a href="https://solaci.org/en/2018/07/17/excel-sub-study-the-site-of-the-left-main-coronary-artery-lesion-does-not-alter-history/" title="Read more" >...</a>

¿Se debe tener en cuenta el género para revascularizar el tronco?

Should Sex Be Taken into Account with Left Main Coronary Artery Revascularization?

The EXCEL trial did not find the sex of patients with left main coronary artery disease to be an independent predictor of adverse events after revascularization. However, women who underwent angioplasty had a trend towards worse outcomes, a finding that might be related to comorbidities and somewhat increased chances of peri-procedural complications. In its formal<a href="https://solaci.org/en/2018/07/10/should-sex-be-taken-into-account-with-left-main-coronary-artery-revascularization/" title="Read more" >...</a>

SYNTAX III REVOLUTION: Muy buena correlación entre angiografía y tomografía en pacientes con tronco y múltiples vasos.

EuroPCR 2018 | SYNTAX III REVOLUTION: Excellent Correlation Between Angiography and Computerized Tomography in Patients with Left Main and Multivessel Disease

In patients with left main or three-vessel coronary disease, heart team decisions on revascularization strategy (angioplasty or surgery) may be made based solely on noninvasive computerized tomography (CT) angiography, since there is great correlation between its results and those determined by conventional angiography. For the SYNTAX III REVOLUTION study, Dr. Serruys and his colleagues randomized<a href="https://solaci.org/en/2018/05/24/europcr-2018-syntax-iii-revolution-excellent-correlation-between-angiography-and-computerized-tomography-in-patients-with-left-main-and-multivessel-disease/" title="Read more" >...</a>

AAS durante cirurgias não cardíacas: somente em pacientes com angioplastia prévia

DES XL for Left Main Coronary Artery Lesions

DES XL for Left Main Coronary Artery Lesions. Presenters: Dr. Carlos Calderas, Venezuela.&nbsp; Dr. Alejandro Ricalde, México. This video, sponsored and funded by Medtronic, was filmed during&nbsp;SOLACI-CACI&nbsp;2017 Congress,&nbsp;at Hilton Buenos Aires Hotel (in Argentina). Do you want to take a look at all other SOLACI-CACI&nbsp;2017 Congress Medtronic cases? Watch them&nbsp; We are interested in your<a href="https://solaci.org/en/2018/01/12/des-xl-for-left-main-coronary-artery-lesions/" title="Read more" >...</a>

perspectiva-tci-compressor

Current Perspectives on the Left Main Coronary Artery

Current Perspectives on the Left Main Coronary Artery. Presenters: Dr. Oscar Méndiz, Argentina.&nbsp; Dr. Fernando Cura, Argentina.&nbsp; Dr. Ricardo Lluberas, Uruguay. This video, sponsored and funded by Medtronic, was filmed during&nbsp;SOLACI-CACI&nbsp;2017 Congress,&nbsp;at Hilton Buenos Aires Hotel (in Argentina). Do you want to take a look at all other SOLACI-CACI&nbsp;2017 Congress Medtronic cases? Watch them&nbsp; We<a href="https://solaci.org/en/2018/01/12/current-perspectives-on-the-left-main-coronary-artery/" title="Read more" >...</a>

Calidad de vida entre cirugía y angioplastia para tratar la enfermedad del tronco

Quality of Life Between Surgery and Angioplasty for the Treatment of Left Main Disease

In recent years, angioplasty with drug-eluting stents (DES) has emerged as an alternative to myocardial revascularization surgery in patients with left main coronary artery disease. Both European and American guidelines offer a Class&nbsp;IIa recommendation for left main coronary artery (LMCA) angioplasty in selected patients. The EXCEL (Evaluation of Xience Versus Coronary Artery Bypass Surgery for<a href="https://solaci.org/en/2018/01/11/quality-of-life-between-surgery-and-angioplasty-for-the-treatment-of-left-main-disease/" title="Read more" >...</a>

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