Format

Send to:

Choose Destination
See comment in PubMed Commons below
J Am Coll Cardiol. 2008 Mar 4;51(9):885-92. doi: 10.1016/j.jacc.2007.09.067.

Revascularization for unprotected left main stem coronary artery stenosis stenting or surgery.

Author information

  • 1Department of Cardiac Surgery, University of Oxford, John Radcliffe Hospital, Oxford, United Kingdom. david.taggart@orh.nhs.uk

Abstract

For coronary artery disease with unprotected left main stem (LMS) stenosis, coronary artery bypass grafting (CABG) is traditionally regarded as the "standard of care" because of its well-documented and durable survival advantage. There is now an increasing trend to use drug-eluting stents for LMS stenosis rather than CABG despite very little high-quality data to inform clinical practice. We herein: 1) evaluate the current evidence in support of the use of percutaneous revascularization for unprotected LMS; 2) assess the underlying justification for randomized controlled trials of stenting versus surgery for unprotected LMS; and 3) examine the optimum approach to informed consent. We conclude that CABG should indeed remain the preferred revascularization treatment in good surgical candidates with unprotected LMS stenosis.

PMID:
18308155
[PubMed - indexed for MEDLINE]
Free full text
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Elsevier Science
    Loading ...
    Write to the Help Desk