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Revascularization strategies for stable multivessel and unprotected left main coronary artery disease: From BARI to SYNTAX

Percutaneous coronary interventions are increasingly applied in patients with complex coronary anatomy, including those with stem disease. Coronary artery bypass surgery confers a mortality reduction over optimal medical therapy in high-risk patients with both left main or multivessel coronary arter... Full description

Journal Title: International Journal of Cardiology 01 December 2011, Vol.153(2), pp.126-134
Main Author: Hahalis, George
Other Authors: Dangas, George , Davlouros, Periklis , Alexopoulos, Dimitrios
Format: Electronic Article Electronic Article
Language: English
Subjects:
Bms
Cad
DES
DM
Ef
Lad
Lm
LV
Mi
Mvd
PCI
Rct
Rrp
ID: ISSN: 0167-5273 ; E-ISSN: 1874-1754 ; DOI: 10.1016/j.ijcard.2011.03.014
Link: http://dx.doi.org/10.1016/j.ijcard.2011.03.014
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recordid: elsevier_sdoi_10_1016_j_ijcard_2011_03_014
title: Revascularization strategies for stable multivessel and unprotected left main coronary artery disease: From BARI to SYNTAX
format: Article
creator:
  • Hahalis, George
  • Dangas, George
  • Davlouros, Periklis
  • Alexopoulos, Dimitrios
subjects:
  • Coronary Artery Disease
  • Coronary Artery Bypass Grafting
  • Percutaneous Coronary Interventions
  • Revascularisation
  • Bms
  • Cabg
  • Cad
  • DES
  • DM
  • Ef
  • Lad
  • Lm
  • LV
  • Mace
  • Mi
  • Mvd
  • PCI
  • Rct
  • Rrp
  • 2-/3-VD
ispartof: International Journal of Cardiology, 01 December 2011, Vol.153(2), pp.126-134
description: Percutaneous coronary interventions are increasingly applied in patients with complex coronary anatomy, including those with stem disease. Coronary artery bypass surgery confers a mortality reduction over optimal medical therapy in high-risk patients with both left main or multivessel coronary artery disease and left ventricular systolic dysfunction. Whether PCI might be preferred as an initial strategy in stable patients with multivessel disease and/or LM disease remains debatable. Emerging evidence suggests that patients with higher atheroma burden, as indicated by older age, presence of diabetes mellitus and extensive MVD in combination with LV dysfunction may derive the greatest benefit from CABG. PCI for unprotected LM with limited additional disease has been revised to a class II recommendation in the recent U.S. and European guidelines. An interdisciplinary team of both cardiac surgeons and cardiologists may optimize treatment in patients with intermediate-to-high disease...
language: eng
source:
identifier: ISSN: 0167-5273 ; E-ISSN: 1874-1754 ; DOI: 10.1016/j.ijcard.2011.03.014
fulltext: fulltext
issn:
  • 0167-5273
  • 01675273
  • 1874-1754
  • 18741754
url: Link


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titleRevascularization strategies for stable multivessel and unprotected left main coronary artery disease: From BARI to SYNTAX
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subjectCoronary Artery Disease ; Coronary Artery Bypass Grafting ; Percutaneous Coronary Interventions ; Revascularisation ; Bms ; Cabg ; Cad ; DES ; DM ; Ef ; Lad ; Lm ; LV ; Mace ; Mi ; Mvd ; PCI ; Rct ; Rrp ; 2-/3-VD
descriptionPercutaneous coronary interventions are increasingly applied in patients with complex coronary anatomy, including those with stem disease. Coronary artery bypass surgery confers a mortality reduction over optimal medical therapy in high-risk patients with both left main or multivessel coronary artery disease and left ventricular systolic dysfunction. Whether PCI might be preferred as an initial strategy in stable patients with multivessel disease and/or LM disease remains debatable. Emerging evidence suggests that patients with higher atheroma burden, as indicated by older age, presence of diabetes mellitus and extensive MVD in combination with LV dysfunction may derive the greatest benefit from CABG. PCI for unprotected LM with limited additional disease has been revised to a class II recommendation in the recent U.S. and European guidelines. An interdisciplinary team of both cardiac surgeons and cardiologists may optimize treatment in patients with intermediate-to-high disease...
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Percutaneous coronary interventions are increasingly applied in patients with complex coronary anatomy, including those with stem disease. Coronary artery bypass surgery confers a mortality reduction over optimal medical therapy in high-risk patients with both left main or multivessel coronary artery disease and left ventricular systolic dysfunction. Whether PCI might be preferred as an initial strategy in stable patients with multivessel disease and/or LM disease remains debatable. Emerging evidence suggests that patients with higher atheroma burden, as indicated by older age, presence of diabetes mellitus and extensive MVD in combination with LV dysfunction may derive the greatest benefit from CABG. PCI for unprotected LM with limited additional disease has been revised to a class II recommendation in the recent U.S. and European guidelines. An interdisciplinary team of both cardiac surgeons and cardiologists may optimize treatment in patients with intermediate-to-high disease...

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Percutaneous coronary interventions are increasingly applied in patients with complex coronary anatomy, including those with stem disease. Coronary artery bypass surgery confers a mortality reduction over optimal medical therapy in high-risk patients with both left main or multivessel coronary artery disease and left ventricular systolic dysfunction. Whether PCI might be preferred as an initial strategy in stable patients with multivessel disease and/or LM disease remains debatable. Emerging evidence suggests that patients with higher atheroma burden, as indicated by older age, presence of diabetes mellitus and extensive MVD in combination with LV dysfunction may derive the greatest benefit from CABG. PCI for unprotected LM with limited additional disease has been revised to a class II recommendation in the recent U.S. and European guidelines. An interdisciplinary team of both cardiac surgeons and cardiologists may optimize treatment in patients with intermediate-to-high disease...

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date2011-12-01