Percutaneous Treatment of Left Main Disease: A Review of Current Status

Percutaneous treatment of the left main coronary artery is one of the most challenging scenarios in interventional cardiology, due to the large portion of myocardium at risk the technical complexity of treating a complex bifurcation with large branches. Our aim is to provide un updated overview of t...

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Detalles Bibliográficos
Autores principales: Pellegrini, Dario, Ielasi, Alfonso, Tespili, Maurizio, Guagliumi, Giulio, De Luca, Giuseppe
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Review
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10419939/
https://www.ncbi.nlm.nih.gov/pubmed/37568374
http://dx.doi.org/10.3390/jcm12154972
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author Pellegrini, Dario
Ielasi, Alfonso
Tespili, Maurizio
Guagliumi, Giulio
De Luca, Giuseppe
author_facet Pellegrini, Dario
Ielasi, Alfonso
Tespili, Maurizio
Guagliumi, Giulio
De Luca, Giuseppe
author_sort Pellegrini, Dario
collection PubMed
description Percutaneous treatment of the left main coronary artery is one of the most challenging scenarios in interventional cardiology, due to the large portion of myocardium at risk the technical complexity of treating a complex bifurcation with large branches. Our aim is to provide un updated overview of the current indications for percutaneous treatment of the left main, the different techniques and the rationale underlying the choice for provisional versus upfront two-stent strategies, intravascular imaging and physiology guidance in the management of left main disease, and the role of mechanical support devices in complex high-risk PCI.
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spelling pubmed-104199392023-08-12 Percutaneous Treatment of Left Main Disease: A Review of Current Status Pellegrini, Dario Ielasi, Alfonso Tespili, Maurizio Guagliumi, Giulio De Luca, Giuseppe J Clin Med Review Percutaneous treatment of the left main coronary artery is one of the most challenging scenarios in interventional cardiology, due to the large portion of myocardium at risk the technical complexity of treating a complex bifurcation with large branches. Our aim is to provide un updated overview of the current indications for percutaneous treatment of the left main, the different techniques and the rationale underlying the choice for provisional versus upfront two-stent strategies, intravascular imaging and physiology guidance in the management of left main disease, and the role of mechanical support devices in complex high-risk PCI. MDPI 2023-07-28 /pmc/articles/PMC10419939/ /pubmed/37568374 http://dx.doi.org/10.3390/jcm12154972 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Pellegrini, Dario
Ielasi, Alfonso
Tespili, Maurizio
Guagliumi, Giulio
De Luca, Giuseppe
Percutaneous Treatment of Left Main Disease: A Review of Current Status
title Percutaneous Treatment of Left Main Disease: A Review of Current Status
title_full Percutaneous Treatment of Left Main Disease: A Review of Current Status
title_fullStr Percutaneous Treatment of Left Main Disease: A Review of Current Status
title_full_unstemmed Percutaneous Treatment of Left Main Disease: A Review of Current Status
title_short Percutaneous Treatment of Left Main Disease: A Review of Current Status
title_sort percutaneous treatment of left main disease: a review of current status
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10419939/
https://www.ncbi.nlm.nih.gov/pubmed/37568374
http://dx.doi.org/10.3390/jcm12154972
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