left main

Bifurcación de tronco de coronaria distal: cantidad de stents

Bifurcation Lesion in Distal Left Main Coronary Artery: One or Two Stents?

Courtesy of Dr. Carlos&nbsp;Fava. Unprotected left main coronary artery (LMCA) angioplasty has become an important trend in the last few years. &nbsp; One of the most significant unresolved questions about it is whether one stent is better than two in distal lesions, and how is their progress after treatment. &nbsp; This study included 937&nbsp;patients who<a href="https://solaci.org/en/2016/11/16/bifurcation-lesion-in-distal-left-main-coronary-artery-one-or-two-stents/" title="Read more" >...</a>

More Evidence For Left Main PCI

Courtesy of Dr. Carlos Fava. Left main coronary artery disease (LMD), has historically been treated with myocardial revascularization surgery (CABG), but for some years now, and with the development of new drug eluting stents (DES), percutaneous coronary intervention (PCI) has been gathering support in this challenging territory. &nbsp; The study analyzed the SYNTAX and PRECOMBAT<a href="https://solaci.org/en/2016/11/10/more-evidence-for-left-main-pci/" title="Read more" >...</a>

TAVR-LM Registry: Transcatheter Aortic Valve Replacement and Left Main Stenting

Original Title: Outcomes in Patients with Transcatheter Aortic Valve Replacement and Left Main Stenting. The TAVR-LM Registry. Reference: TarunChakravarty et al. Journal of the American College of Cardiology, Vol 67, N° 8, 2016. Courtesy of Dr. Santiago F. Coroleu.  High surgical risk patients with severe aortic stenosis and significant left main aortic arterydiseaseare often treated combining<a href="https://solaci.org/en/2016/03/22/tavr-lm-registry-transcatheter-aortic-valve-replacement-and-left-main-stenting/" title="Read more" >...</a>

¿Es seguro utilizar iFR para diferir lesiones del tronco de la coronaria izquierda?

LEMANS Trial: Left main stenting vs. surgery at 10 years

Original Title: Left main stenting in Comparison with Surgical Revascularization 10-year outcomes of the (Left Main Coronary Stenting) LE MANS trial. Reference: Buszman P et al. J Am CollCardiolIntv. 2016;9(4):318-327. doi:10.1016/j.jcin.2015.10.044. Courtesy of Dr. Guillermo Migliaro. Long term outcomes of left main stenting are unknown. This study reports 10 year follow up outcomes of the LEMANS trial patients. The<a href="https://solaci.org/en/2016/02/29/lemans-trial-left-main-stenting-vs-surgery-at-10-years/" title="Read more" >...</a>

TRYTON dedicated bifurcation stent in left main coronary artery

TRYTON is a cobalt chromium device specifically dedicated for bifurcation lesions to be implanted in the side branch. Circumflex artery is the major lateral branch fund the coronary tree. Between 2008 and 2011 this work included 52 patients with left main coronary unprotected lesions who underwent angioplasty with drug-eluting stent in the coronary trunk left<a href="https://solaci.org/en/2015/06/24/tryton-dedicated-bifurcation-stent-in-left-main-coronary-artery/" title="Read more" >...</a>

DKCRUSH-III: Crushing versus Culotte technique for left main coronary artery

Angioplasty of the unprotected distal left main coronary artery with 2 stents presents the less favorable results in the segment. The double kissing (DK) technique and Culotte technique have been reported as effective for the treatment of bifurcation lesions, however this has never been tested for left main coronary artery.&nbsp; The DKCRUSH-III study investigated the<a href="https://solaci.org/en/2015/06/24/dkcrush-iii-crushing-versus-culotte-technique-for-left-main-coronary-artery/" title="Read more" >...</a>

OCT useful to assess non ostial left main lesions

Original title:&nbsp;Frecuency domain optical coherente tomography to assess non-ostial left main artery.&nbsp;Reference:&nbsp;Francesco Burzotta, et al. EuroIntervention 2015;10e1-e8 &nbsp; Optical coherence tomography (OCT) has proved valuable in making decisions and monitoring stents implanted in coronary arteries, but its role in the assessment of left main (LM) lesions remains unclear. The study included 54 patients presenting moderate<a href="https://solaci.org/en/2015/02/09/oct-useful-to-assess-non-ostial-left-main-lesions/" title="Read more" >...</a>

More evidence for unprotected left main PCI

Original title:&nbsp;Outcomes After Emergency Percutaneous Coronary Intervention in Patients UIT unprotected Left Main Stem Occlusion. The BCIS National Audit of Percutaneous Coronary Intervention 6-Years Experience.&nbsp;Reference:&nbsp;Niket Patel, et al. J Am Coll Cardiol Interv 2014;7:969-80 AMI involving unprotected left main is not frequent in catheterization labs since most of these cases present in shock. There is<a href="https://solaci.org/en/2014/10/21/more-evidence-for-unprotected-left-main-pci/" title="Read more" >...</a>

Minimal Lumen Area Criteria for Functionally Significant Intermediate Left Main Coronary Artery Stenosis

Original title:&nbsp;Intravascular Ultrasound-Derived Minimal Lumen Area Criteria for Functionally Significant Left Main Coronary Artery Stenosis.&nbsp;Reference:&nbsp;Seung-Jung Park et al. J Am Coll Cardiol Intv. 2014;7(8):868-874. Deciding on a course of action when facing intermediate main left stenosis is usually challenging. We tend to overestimate the lesion or to use additional methods, other than angiography, to tip<a href="https://solaci.org/en/2014/08/21/minimal-lumen-area-criteria-for-functionally-significant-intermediate-left-main-coronary-artery-stenosis/" title="Read more" >...</a>

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