Critical Issues in PCI : ” Left ” main cries foul . . . calls for “ Right ” thinkers ?
Conquering left main disease is considered as crowning glory for the Interventional cardiologists. For over three decades , CABG has remained the undisputed modality which is being challenged today. Fortunately, the Incidence of true isolated left main disease is low .(If Medina bifurcation subset is excluded)
With growing expertise , advanced hardware and Imaging ( like a 360 degree OCT fly through view ) one can virtually sit inside the left main and complete a PCI .
Still , coronary care is much . . . much . . . more than a technology in transit !
Most importantly, these complex PCIs require rigorous maintenance protocol with meticulous platelet knockout drugs , patient compliance and the genetic fate of drug efficacy . (Clopidogrel has since entered the final laps of inefficiency while Ticagrelor has some more time I guess !)
What is the current thinking about unprotected left main PCI ? Let us know it from real life experts !
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For those answered , yes to the above question please leave this page , as the following question might trouble you much !
While competent surgeons are wa...
Source: Dr.S.Venkatesan MD - Category: Cardiology Authors: dr s venkatesan Tags: CABG Indications cardiac surgery Cardiology -Interventional -PCI cardiology -Therapeutics Cardiology -unresolved questions cardiology wisdom cath lab tips and tricks best option for left main disease left main pci or cabg precombat synta Source Type: blogs
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