Left Main Coronary Artery Disease: Current Treatment Options

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dc.contributor.authorTanyeli, Omer
dc.coverage.doi10.5772/68027
dc.date.accessioned2024-02-23T14:44:43Z
dc.date.available2024-02-23T14:44:43Z
dc.date.issued2017
dc.departmentNEÜen_US
dc.description.abstractSignificant left main coronary artery disease is defined as a greater than 50% angiographic narrowing of the vessel. In general, there are three options for the treatment of LMCA disease which include optimal medical therapy, percutaneous revascularization, or surgical revascularization, either off-pump or on-pump. It is the highest-risk lesion subset of ischemic heart disease and until recent years, coronary artery bypass grafting was the major choice of treatment. Although there is a marked increase in use of percutaneous coronary intervention in left main disease, there are still some questions about its efficacy when compared with surgery. Although bypass surgery is the gold standard, current treatment guideline recommendations canalized the treatment of this potentially lethal disease into percutaneous interventions in selected patients who had low to intermediate anatomic complexity. Left main disease with low SYNTAX scores (<= 22) can be treated either by bypass surgery or percutaneously, whereas SYNTAX score > 32 is an indication for only coronary artery bypass surgery. The heart team should always be in collaboration, give therapeutic options to patients and decide the best treatment strategy for the welfare of the patient.en_US
dc.identifier.doi10.5772/intechopen.71562
dc.identifier.endpage68en_US
dc.identifier.isbn978-953-51-3710-8
dc.identifier.isbn978-953-51-3709-2
dc.identifier.startpage41en_US
dc.identifier.urihttps://doi.org/10.5772/intechopen.71562
dc.identifier.urihttps://hdl.handle.net/20.500.12452/17078
dc.identifier.wosWOS:000467394200004en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.language.isoenen_US
dc.publisherIntech Europeen_US
dc.relation.ispartofCoronary Artery Bypass Graft Surgeryen_US
dc.relation.publicationcategoryKitap Bölümü - Uluslararasıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectCoronary Artery Diseaseen_US
dc.subjectLeft Main Coronary Artery Diseaseen_US
dc.subjectCoronary Artery Bypass Surgeryen_US
dc.subjectPercutaneous Interventionen_US
dc.subjectPcien_US
dc.subjectCabgen_US
dc.subjectSyntax Scoreen_US
dc.titleLeft Main Coronary Artery Disease: Current Treatment Optionsen_US
dc.typeBook Chapteren_US

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