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Vol 19, No 4 (2012)
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Published online: 2012-07-09
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Left main disease management strategy: Indications and revascularization methods in particular groups of subjects

Łukasz J. Krzych, Krystyna Bochenek-Klimczyk, Michał Wasiak, Krzysztof Białek, Maciej Bolkowski, Danuta Gierek, Andrzej Bochenek
Cardiol J 2012;19(4):347-354.

open access

Vol 19, No 4 (2012)
How to do
Published online: 2012-07-09

Abstract

Surgical revascularization with coronary artery by-pass grafting is still recommended in vast majority of patients with unprotected left main disease. The aim of the paper was to analyze optimal treatment of left main disease in selected groups of patients, on the basis of current guidelines and information gained from literature data. We focused on data in relation to treatment of elderly patients, diabetics and those hemodynamically unstable. Additionally we discussed the issue of anti-platelet therapy and informed consent. As far as efficacy of treatment is concerned, not only method of revascularization but also general condition of the patient, the factors influencing peri-operative risk and optimal pharmacotherapy should be taken into account. Therefore establishment of the heart team is crucial when choosing the most suitable method of invasive treatment of left main disease.

Abstract

Surgical revascularization with coronary artery by-pass grafting is still recommended in vast majority of patients with unprotected left main disease. The aim of the paper was to analyze optimal treatment of left main disease in selected groups of patients, on the basis of current guidelines and information gained from literature data. We focused on data in relation to treatment of elderly patients, diabetics and those hemodynamically unstable. Additionally we discussed the issue of anti-platelet therapy and informed consent. As far as efficacy of treatment is concerned, not only method of revascularization but also general condition of the patient, the factors influencing peri-operative risk and optimal pharmacotherapy should be taken into account. Therefore establishment of the heart team is crucial when choosing the most suitable method of invasive treatment of left main disease.
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Keywords

left main disease; cardiac surgery; percutaneous coronary intervention; revascularization

About this article
Title

Left main disease management strategy: Indications and revascularization methods in particular groups of subjects

Journal

Cardiology Journal

Issue

Vol 19, No 4 (2012)

Pages

347-354

Published online

2012-07-09

Bibliographic record

Cardiol J 2012;19(4):347-354.

Keywords

left main disease
cardiac surgery
percutaneous coronary intervention
revascularization

Authors

Łukasz J. Krzych
Krystyna Bochenek-Klimczyk
Michał Wasiak
Krzysztof Białek
Maciej Bolkowski
Danuta Gierek
Andrzej Bochenek

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