Current representation of endovascular treatment of patients with left main coronary artery disease

Abstract

Coronary artery bypass grafting (CABG) is known as the gold standard treatment of unprotected left main coronary artery (LMCA) disease and has the highest level of evidence in European and American recommendations. However development of endovascular methods of treatment, and first of all decrease of in-stent-restenosis allow us to consider angioplasty and stenting of LMCA as an alternative method to CABG. The comparative world analysis of results of percutaneous coronary interventions and CABG is provided in article. It tells also how efficiency of percutaneous coronary interventions depends on such factors as lesion localization, diabetes, type of drug-eluting stent.

Keywords

• left main coronary artery disease
• percutaneous coronary interventions
• coronary artery bypass grafting
• angioplasty and stenting
• endovascular methods of treatment