Historically coronary artery bypass grafting (CABG) was regarded as the first choice for patients with unprotected left main (LM) disease. However, recent randomized controlled studies (RCTs) performed in expert centers have suggested similar outcomes following percutaneous coronary intervention (PCI) in the medium term (3 - 5 years). this meta-analysis indicates that PCI is associated with a comparable long-term risk of death to CABG for LM. However, patients treated with PCI present a higher risk of nonfatal non- procedural MI and repeat revascularization compared to those who undergo CABG.

Long-term outcomes in the management of left main disease: An updated meta-analysis of randomized controlled trials

Scarsini R;
2021-01-01

Abstract

Historically coronary artery bypass grafting (CABG) was regarded as the first choice for patients with unprotected left main (LM) disease. However, recent randomized controlled studies (RCTs) performed in expert centers have suggested similar outcomes following percutaneous coronary intervention (PCI) in the medium term (3 - 5 years). this meta-analysis indicates that PCI is associated with a comparable long-term risk of death to CABG for LM. However, patients treated with PCI present a higher risk of nonfatal non- procedural MI and repeat revascularization compared to those who undergo CABG.
2021
Left main
Revascularization
Percutaneous coronary intervention
Coronary artery bypass grafting
Mortality
File in questo prodotto:
File Dimensione Formato  
Hellenic metanalysis LMS1-s2.0-S1109966620300713-main.pdf

solo utenti autorizzati

Licenza: Copyright dell'editore
Dimensione 622.21 kB
Formato Adobe PDF
622.21 kB Adobe PDF   Visualizza/Apri   Richiedi una copia

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11562/1071648
Citazioni
  • ???jsp.display-item.citation.pmc??? ND
  • Scopus 2
  • ???jsp.display-item.citation.isi??? 2
social impact