Patient selection and percutaneous technique of unprotected left main revascularization
Testa L, Latib A, Bollati M et al.

KEYWORDS
fractional flow reserve; imaging; intravascular ultrasound; left main coronary disease; percutaneous coronary intervention

Increasing evidence suggests that percutaneous coronary intervention with newer generation drug-eluting stents may be an acceptable alternative, or even preferred in selected cases to the surgical approach, in patients with left main disease. This review will discuss the anatomic factors, the clinical variables, and the procedural strategies to consider, including physiology assessment and imaging guidance, in order to optimize outcomes.