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October 2017

What Is the Optimal Revascularization Strategy for Left Main Coronary Stenosis?

Author Affiliations
  • 1University of Ottawa Heart Institute, Ottawa, Ontario, Canada
  • 2Division of Cardiac Surgery, St Michael’s Hospital, University of Toronto, Toronto, Ontario, Canada
  • 3Brigham and Women’s Hospital Heart & Vascular Center, Harvard Medical School, Boston, Massachusetts
JAMA Cardiol. 2017;2(10):1061-1062. doi:10.1001/jamacardio.2017.2946

Over the last months, 2 major trials and several meta-analyses have been published on the treatment of stable, unprotected left main coronary artery stenosis. Currently, North American and European guidelines for the treatment of left main stenosis indicate a class I recommendation for the performance of coronary artery bypass grafting (CABG). They also indicate a class IIa to III (North American) or a class I to III (European) recommendation for percutaneous coronary intervention (PCI), depending on the complexity of the coronary anatomy as determined by the Synergy Between PCI With Taxus and Cardiac Surgery (SYNTAX) score.1