Unprotected left main PCI: Status report 2013

Department of Medicine, Division of Interventional Cardiology, UCLA Medical Center, Los Angeles, California USA. .
The Journal of invasive cardiology (Impact Factor: 0.95). 09/2013; 25(9):478-82.
Source: PubMed


Unprotected left main coronary artery (ULMCA) disease is seen in 4% of patients who undergo angiography. Though coronary artery bypass graft surgery has traditionally been the preferred approach to revascularization, recent major society guidelines support the use of percutaneous coronary intervention (PCI) in properly selected patients. This article provides an overview of recent studies evaluating the efficacy of ULMCA PCI and looking at contemporary approaches to the evaluation and percutaneous treatment of ULMCA disease. The ongoing EXCEL trial will help elucidate the role of ULMCA PCI in the treatment of left main disease compared with coronary artery bypass graft surgery.

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