Immediate and long-term outcomes of stent implantation for unprotected left main coronary artery disease

Classification and Atherosclerosis Distribution in Patients with Left Main Coronary Disease

“…We believe that for ease of reference, LM stenosis should be classified as LM‐A if the stenosis involves the ostial LM but not the bifurcation, LM‐B if the lesion involves neither the ostium nor bifurcation, or LM‐C if the lesion involves the bifurcation. Results from this study reveal that a majority of LM lesions occur at the bifurcation, which is consistent with previous reports by Park et al, Chiefflo et al, Valgimigli et al, Lee et al, and Migliorini et al registries 2,5,8–10,12,13,15,16,18–21 . Bifurcations are prone to develop disease because of turbulent blood flow and high shear stress.…”

“…Numerous studies have been performed to evaluate short-, intermediate-, and long-term outcomes after LM percutaneous revascularization with promising results. 1,2,5,[13][14][15][16] More recently, short-term data from studies using DES have revealed more promising data, 9 leading to increasing use of PCI for management of LM disease and particularly for isolated LM, where more than 50% of patients are now receiving PCI. 17 The purpose of this study was to characterize clinical variables and angiographic distribution of coronary atherosclerosis to classify patients with de novo LM disease in real-world population.…”

Chronic total left main coronary artery occlusion— A case report

“…There are some reports about the successful treatment of these patients with thrombolytic therapy [1], urgent bypass surgery, or through percutaneous coronary intervention leading to recanalization of left main coronary artery [2][3][4][5]. Some clinicians describe cases of joining two methods: An angioplasty is performed to achieve hemodynamic stabilization and, subsequently, after a couple of days, surgical revascularization is carried out as a final therapy [6][7][8].…”

Changing treatment patterns for coronary artery revascularization in Canada: the projected impact of drug eluting stents

“…Lee et al evaluated in the impact of bare metal stent use among patients who were at high operative risk or refused CABG [13]. In the Lee et al study, stent implantation was reported to be safe and clinically beneficial [13]. Use of DES as a treatment option is likely to improve clinical outcomes while maintaining the safety of this less invasive revascularization approach.…”