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.
Keywords: fractional flow reserve; imaging; intravascular ultrasound; left main coronary disease; percutaneous coronary intervention.
© 2018 The Authors Catheterization and Cardiovascular Interventions Published by Wiley Periodicals, Inc.