Revascularization Guidelines Series-Left Main Disease: Considerations for Surgical and Percutaneous Treatment

Left Main Disease: Considerations for Surgical and Percutaneous Treatment

Video Transcription

Video Summary

In this video, Dr. Beatle discusses left-main disease considerations for surgical or percutaneous treatment. He mentions that the 2021 revascularization guideline recommends revascularization to improve symptoms and survival in patients with left-main coronary artery disease. He discusses the historical evidence supporting bypass surgery over medical therapy and the lack of studies comparing stenting with medical therapy. However, he explains that recent trials have shown similar mortality rates between stenting and bypass surgery, supporting a recommendation for stenting to improve survival in patients with left-main disease. He also mentions the current guidelines and ongoing research in this area. The patient in their case elected to proceed with coronary stenting and had a successful outcome. Dr. Beatle concludes by discussing the need for further research in patients with intermediate lesions in the left main coronary artery.

Asset Subtitle

John A. Bittl, MD

Keywords

Dr. Beatle

left-main disease

surgical treatment

percutaneous treatment

2021 revascularization guideline