title: Is percutaneous coronary intervention as effective as bypass surgery in left main stem coronary artery stenosis?
abstract: Recent advances in percutaneous coronary intervention (PCI) have rekindled interest in this treatment modality also in the setting of unprotected left main stenosis. Randomized trials reported a similar risk of death or myocardial infarction between PCI and coronary artery bypass grafting (CABG). However, rates of stroke were higher after CABG, whereas patients undergoing PCI had a higher risk of repeat revascularization. Although CABG remains the standard of care for left main stenosis in current guideline recommendations, PCI is considered a reasonable alternative in patients with low to intermediate anatomical complexity and at increased surgical risk. An interdisciplinary assessment is indispensable in order to choose the best treatment option for each individual patient.
authors: Department of Internal Medicine-Cardiology, University of Leipzig Heart Center, Strümpellstrasse 39, Leipzig, Germany. thomas.stiermaier@gmail.com
authors: T
authors: T
authors: Stiermaier
authors: G
authors: G
authors: Schuler
authors: E
authors: E
authors: Boudriot
authors: S
authors: S
authors: Desch
authors: H
authors: H
authors: Thiele
mesh_terms: D001026:Coronary Artery Bypass / Q000379:methods* / Q000639:trends*; D023921:Coronary Stenosis / Q000601:surgery*; D019317:Evidence-Based Medicine; D006801:Humans; D062645:Percutaneous Coronary Intervention / Q000379:methods* / Q000639:trends*; D016896:Treatment Outcome