Document Detail

Is percutaneous coronary intervention as effective as bypass surgery in left main stem coronary artery stenosis?
MedLine Citation:
PMID:  23324915     Owner:  NLM     Status:  Publisher    
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.
T Stiermaier; G Schuler; E Boudriot; S Desch; H Thiele
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-1-18
Journal Detail:
Title:  Herz     Volume:  -     ISSN:  1615-6692     ISO Abbreviation:  Herz     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-1-17     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7801231     Medline TA:  Herz     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Department of Internal Medicine - Cardiology, University of Leipzig - Heart Center, Strümpellstr. 39, 04289, Leipzig, Germany,
Vernacular Title:
Ist die perkutane Koronarintervention gleichwertig zur Bypasschirurgie in der Behandlung von Hauptstammstenosen?
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