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- W3123292008 abstract "With improvements in stent technology and adjunctive pharmacotherapy, percutaneous coronary intervention (PCI) has become a feasible, safe, and efficacious alternative to coronary artery bypass grafting (CABG) in selected patients with unprotected LMCA (ULMCA) disease. Optimizing PCI outcomes, including verifying stent expansion and apposition, is crucial given the large territory of viable myocardium the LMCA supplies. The stenting strategy for ULMCA PCI is generally determined by the location of disease. This chapter various stenting techniques stenting across ostium of LCX (crossover technique), T-stenting technique, crush technique, mini-crush technique, double-crush technique, simultaneous kissing stent (V-stenting), and Culotte stenting. ULMCA PCI appears to be a reasonable option, especially if perfusion can be obtained much faster with PCI compared with CABG. In-stent restenosis and target vessel revascularization is not as much a pressing issue at the time of the decision-making process when the patient is in extremis." @default.
- W3123292008 created "2021-02-01" @default.
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- W3123292008 date "2020-07-06" @default.
- W3123292008 modified "2023-10-18" @default.
- W3123292008 title "Left Main Percutaneous Coronary Intervention" @default.
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- W3123292008 doi "https://doi.org/10.1002/9781119383031.ch10" @default.
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