Commentary: Coronary artery bypass grafting versus percutaneous coronary intervention in left main disease: Plausibility does not equal evidence

[摘要] The debate between coronary artery bypass grafting (CABG) and percutaneous coronary intervention (PCI) for left main coronary artery disease (LMCAD) has dominated the revascularization field for almost 20 years and led to 6 randomized-controlled trials (RCTs). While the Synergy between PCI with Taxus and Cardiac Surgery (SYNTAX) score discriminates between most patients better suited for CABG rather than PCI, it remains unclear whether left main disease in general, and lesion location in particular, further influence decision-making.

[学科分类] 心脏病和心血管学