TY - JOUR
T1 - The Left Main Facts
T2 - Faced, Spun, But Alas Too Few
AU - Brinker, Jeff
PY - 2008/3/4
Y1 - 2008/3/4
N2 - Bypass surgery has been shown to prolong life in patients with significant left main stenosis compared with medical therapy and is the current standard of care. Recent registry data suggest that stenting may offer intermediate-term results similar to surgery, although with a greater need for repeat revascularization. Drug-eluting stents appear to improve the outcomes of stenting. Over 20% of patients with left main disease currently receive stents, and there is need for ongoing randomized controlled trials to validate this approach. It is essential that such patients receive balanced counseling as to revascularization options.
AB - Bypass surgery has been shown to prolong life in patients with significant left main stenosis compared with medical therapy and is the current standard of care. Recent registry data suggest that stenting may offer intermediate-term results similar to surgery, although with a greater need for repeat revascularization. Drug-eluting stents appear to improve the outcomes of stenting. Over 20% of patients with left main disease currently receive stents, and there is need for ongoing randomized controlled trials to validate this approach. It is essential that such patients receive balanced counseling as to revascularization options.
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U2 - 10.1016/j.jacc.2007.10.046
DO - 10.1016/j.jacc.2007.10.046
M3 - Review article
C2 - 18308156
AN - SCOPUS:39649113374
SN - 0735-1097
VL - 51
SP - 893
EP - 898
JO - Journal of the American College of Cardiology
JF - Journal of the American College of Cardiology
IS - 9
ER -