左主干支架 - The Left Main and Coronary Artery Bifurcation Lesion Summit (CBS)

Abstract

Comparative effectiveness analysis of percutaneous coronary intervention versus coronary artery bypass grafting in patients with chronic kidney disease and unprotected left main coronary artery disease
Impact of Staging Percutaneous Coronary Intervention in Left Main Artery Disease: Insights From the EXCEL Trial
Differences between the left main and other bifurcations
New-onset atrial fibrillation after PCI and CABG for left main disease: insights from the EXCEL trial and additional studies
Impact of Lesion Preparation Strategies on Outcomes of Left Main PCI: The EXCEL Trial
Intravascular Imaging and 12-Month Mortality After Unprotected Left Main Stem PCI: An Analysis From the British Cardiovascular Intervention Society Database
Contemporary Use and Trends in Unprotected Left Main Coronary Artery Percutaneous Coronary Intervention in the United States: An Analysis of the National Cardiovascular Data Registry Research to Practice Initiative
Impact of chronic obstructive pulmonary disease on prognosis after percutaneous coronary intervention and bypass surgery for left main coronary artery disease: an analysis from the EXCEL trial
Long-Term Outcomes After PCI or CABG for Left Main Coronary Artery Disease According to Lesion Location
Impact of SYNTAX Score on 10-Year Outcomes After Revascularization for Left Main Coronary Artery Disease

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Expert Opinion

2015;11 Suppl V:V106-10.

JOURNAL：EuroIntervention.

Article Link

Differences between the left main and other bifurcations

Lefèvre T, Girasis C, Lassen JF.

3994

Keywords: left main anatomy; risks; stenting strategy

ABSTRACT

The left main is the largest bifurcation of the coronary tree and is, therefore, easier to access. Nevertheless, the risks of untoward consequences associated with the loss of the side branch are much higher. Although the usual technical strategies implemented in coronary bifurcations can generally be applied to left main lesions, several inherent characteristics (the ostial position of the main branch, the size of the side branch, the amount of calcification, the angle which is often in a T shape, the use of stents of variable suitability, the crucial role of POT) need to be taken into account in order to achieve optimal acute and long-term results.