Left Main Coronary Revascularization

This book comprehensively reviews LM revascularization, one of the

most technically challenging and prognostically relevant topics for

cardiologists. LM carries blood to 70-80% of the normal heart, and

diseases affecting this coronary segment are a common cardiac condition.

Beginning in the sixties, management was exclusively within the

domain of cardiac surgeons, and recent dramatic changes in percutaneous

techniques have led to huge improvements but have also

brought significant surgical challenges. In the book, top cardiac surgeons

describe current and future operative techniques, while leading

also investigates the recently released European Society of Cardiology

Guidelines in detail.

Featuring the latest scientific studies with long-term follow up, and

detailed descriptions of the techniques used, thisbook provides comprehensive

guidance for any clinician, and is a valuable resource for

cardiologists, interventional cardiologists, cardiac surgeons and

internists.

This is an open access book.

1       Historical background of left main stem revascularization.- 2 Anatomical and pathophysiological considerations on the left main coronary artery.- 3 CABG vs. PCI for left main revascularization.- 4 CABG should be the first option for left main disease- a surgical perspective.- 5 Now, PCI should be the first option for left main disease- an interventional cardiologist's perspective.- 6 Which device for left main PCI? A description of available devices.- 7 Which interventional technique for left main PCI.- 8 Which surgical technique for left main coronary artery bypass?.- 9 Preoperative and postoperative IVUS assessment of the left main.- 10 Preoperative functional assessment of the left main and postoperative side branch evaluation.- 11 Is there a role for OCT for left main assessment before and after PCI?.- 12 The role of intravascular imaging for intraprocedural and post-procedural evaluation of the left main undergone PCI.- 13 Follow up of leftmain patients treated with PCI or CABG.