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

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.
Left main
Revascularization
Percutaneous coronary intervention
Coronary artery bypass grafting
Mortality
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11562/1071648
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