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Percutaneous Coronary Intervention to Unprotected Left Main Stem In Different Coronary Syndromes

Original title:&nbsp;Comparative Outcomes After Unprotected Left Main Stem Percutaneous Coronary Intervention: A National Linked Cohort Study of 5,065 Acute and Elective Cases From the BCIS Registry (British Cardiovascular Intervention Society).&nbsp;Reference:&nbsp;Sami S. Almudarra, et al. JACC Cardiovasc Interv 2014;7:717-30 Although myocardial revascularization surgery has long been the gold standard treatment for left main lesions, PCI has<a href="https://solaci.org/en/2014/08/13/percutaneous-coronary-intervention-to-unprotected-left-main-stem-in-different-coronary-syndromes/" title="Read more" >...</a>

Cohort with left main coronary injury of SYNTAX. Final monitoring at 5 years.

Original title:&nbsp;Five-year outcomes in patients with left main disease treated with either percutaneous coronary intervention or coronary artery bypass grafting in the synergy between percutaneous coronary intervention with taxus and cardiac surgery trial.&nbsp;Reference: Morice MC et al. Circulation. 2014 Jun 10;129(23):2388-94. &nbsp; Current guidelines recommend CABG as the strategy of choice for treating lesions of<a href="https://solaci.org/en/2014/06/19/cohort-with-left-main-coronary-injury-of-syntax-final-monitoring-at-5-years/" title="Read more" >...</a>

Coronary Artery Bypass Grafting and Percutaneous Coronary Intervention show similar outcomes for ostial/midshaft lesion in Unprotected Left Main Coronary Artery

Original title:&nbsp;Long-Term Clinical Outcome Intervention Versus Coronary Artery Bypass Grafting for Ostial/Midshaft Lesion in Unprotected Left main Coronary Artery From The DELTA Registry.&nbsp;Reference:&nbsp;Toru Nagamuna et al. JACC Cardiovascular Intervention. Article in Press Even though surgery remains the &ldquo;gold standard&rdquo; to treat UMCLA lesions, current guidelines have incorporated PCI as class IIa at ostium/midshaft level. The<a href="https://solaci.org/en/2014/04/04/coronary-artery-bypass-grafting-and-percutaneous-coronary-intervention-show-similar-outcomes-for-ostial-midshaft-lesion-in-unprotected-left-main-coronary-artery/" title="Read more" >...</a>

Longer follow-up registry of angioplasty in left main coronary artery. Significant differences according to the diseased segment.

Original title:&nbsp;The DELTA Registry (Drug-Eluting Stent for Left Main Coronary Artery Disease): A Multicenter registry Evaluating Percutaneous Coronary Intervention Versus Coronary Artery Bypass Grafting for left Main Treatment&nbsp;Reference:&nbsp;Naganuma T, et al. J Am Coll Cardiol Intv 2013;6:1242&ndash;9 Angioplasty of the unprotected left coronary trunk has increased significantly in recent years showing good results. Currently the<a href="https://solaci.org/en/2014/01/20/longer-follow-up-registry-of-angioplasty-in-left-main-coronary-artery-significant-differences-according-to-the-diseased-segment/" title="Read more" >...</a>

2nd generation drug-eluting stents intended for left main coronary artery

Original title:&nbsp;Zotarolimus- versus Everolimus-Eluting Stents for Unprotected Left Main Coronary Artery Disease. ISAR-LEFT MAIN 2 Study.&nbsp;Reference:&nbsp;Julinda Mehilli et al. J Am Coll Cardiol, article in press. Improvements in 2nd generation drug-eluting stents led to increased efficiency and safety , however there is little information on these new platforms to treat left main coronary artery .<a href="https://solaci.org/en/2013/08/29/2nd-generation-drug-eluting-stents-intended-for-left-main-coronary-artery/" title="Read more" >...</a>

A real challenge: Primary PCI on an Unprotected Left Main Coronary Culprit Lesion

Original title:&nbsp;A Systematic Review and Meta-Analysis on Primary Percutaneous Coronary Intervention on an Unprotected Left Main Coronary Artery Culprit Lesion in the setting of Acute Myocardial Infarction&nbsp;Reference:&nbsp;Marije M. Vis et al. J Am Coll Cardiol Intv 2013;6:317&ndash;24 Acute myocardial infarction with a significantly compromised unprotected left main coronary artery culprit lesion is relatively rare (4%<a href="https://solaci.org/en/2013/04/24/a-real-challenge-primary-pci-on-an-unprotected-left-main-coronary-culprit-lesion/" title="Read more" >...</a>

Left Main Coronary Artery PCI: In What Scenario Could We Not Use IVUS?

Lesions in the left main coronary artery (LMCA) continue to pose a significant challenge. The use of coronary imaging before percutaneous coronary implantation (PCI) has proven useful in analyzing the lesion, identifying the presence and location of calcification, and determining lesion length in the LMCA, the left anterior descending artery, and the circumflex artery. Various<a href="https://solaci.org/en/2023/10/10/left-main-coronary-artery-pci-in-what-scenario-could-we-not-use-ivus/" title="Read more" >...</a>

angioplastia a tronco de coronaria izquierda vs cirugia

Left Main Coronary Artery Revascularization: Are Periprocedural Complications Significant?

In the field of percutaneous coronary intervention (PCI) and myocardial revascularization surgery (MRS), previous analyses have shown a link between in-hospital and 30-day complications, in terms of complicated progress and/or mortality. Most of this information comes from non-randomized or old studies, which translates into contradictory data. Researchers analyzed the EXCEL study, which included patients with<a href="https://solaci.org/en/2023/03/22/left-main-coronary-artery-revascularization-are-periprocedural-complications-significant/" title="Read more" >...</a>

La ATC es una alternativa válida en el TCI

Left Main Revascularization: 12 Year Registry in Canada

The current indication for severe left main lesion continues to be coronary artery bypass graft surgery (CABG) but percutaneous coronary intervention (PCI) has come far in this territory thanks to increasing operator experienced and the use of IVUS during procedures.&nbsp;&nbsp; At present, left main disease have a Class IIa indication in the American guidelines when<a href="https://solaci.org/en/2023/03/02/left-main-revascularization-12-year-registry-in-canada/" title="Read more" >...</a>

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