Outcomes Among Patients Undergoing Distal Left Main Percutaneous Coronary Intervention
Kandzari DE, Gershlick AH, Stone GW et al.
KEYWORDS
coronary artery disease; dilatation; everolimus; myocardial infarction; PCI; EXCEL trail; outcome
BACKGROUND - Distal left main (LM) coronary artery bifurcation disease increases percutaneous coronary intervention (PCI) procedural complexity and is associated with worse outcomes than isolated ostial/shaft disease. The optimal treatment strategy for distal LM disease is undetermined. We sought to determine whether outcomes after PCI of LM distal bifurcation lesions are influenced by treatment with a provisional 1-stent versus planned 2-stent technique, and if so, whether such differences are conditioned by the complexity of the LM bifurcation lesion.
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