Interventions for the Left Main Coronary Artery Disease

Abstract

The left main coronary artery disease (CAD) is a complex subset of CAD with constantly evolving guidelines in management and treatment. Indications for revascularization and the strategies of revascularization (Percutaneous intervention versus bypass surgery) are the subject of many trials and metanalysis. If percutaneous intervention is planned, meticulous planning and imaging to guide intervention are mandated. Step-wise layered provisional strategy is the treatment of choice with a systematic two-stent strategy reserved for complex bifurcation.