TY - JOUR
T1 - Operator Experience and Outcomes After Left Main Percutaneous Coronary Intervention
AU - Kanmanthareddy, Arun
AU - Anugula, Dixitha
AU - Kar, Biswajit
PY - 2018/5/1
Y1 - 2018/5/1
N2 - Purpose of Review: This review was performed with the goal of summarizing the role of operator experience in the treatment of severe left main stenosis by percutaneous intervention techniques. Recent Findings: The Evaluation of XIENCE versus Coronary Artery Bypass Surgery for Effectiveness of Left Main Revascularization (EXCEL) trial demonstrated that percutaneous coronary intervention and coronary artery bypass grafting had similar clinical outcomes for severe left main disease. However, PCI of the left main coronary stenosis is considered to be a high-risk intervention because of the large area of myocardium at jeopardy that can quickly cause hemodynamic compromise. Operator experience and familiarity with the use of hemodynamic support devices, plaque modification techniques, and intravascular imaging tools is associated with better clinical outcomes. Summary: In patients with severe left main stenosis undergoing percutaneous coronary intervention by high-volume operators, the clinical outcomes are superior.
AB - Purpose of Review: This review was performed with the goal of summarizing the role of operator experience in the treatment of severe left main stenosis by percutaneous intervention techniques. Recent Findings: The Evaluation of XIENCE versus Coronary Artery Bypass Surgery for Effectiveness of Left Main Revascularization (EXCEL) trial demonstrated that percutaneous coronary intervention and coronary artery bypass grafting had similar clinical outcomes for severe left main disease. However, PCI of the left main coronary stenosis is considered to be a high-risk intervention because of the large area of myocardium at jeopardy that can quickly cause hemodynamic compromise. Operator experience and familiarity with the use of hemodynamic support devices, plaque modification techniques, and intravascular imaging tools is associated with better clinical outcomes. Summary: In patients with severe left main stenosis undergoing percutaneous coronary intervention by high-volume operators, the clinical outcomes are superior.
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U2 - 10.1007/s11886-018-0972-0
DO - 10.1007/s11886-018-0972-0
M3 - Review article
C2 - 29572751
AN - SCOPUS:85044371159
VL - 20
JO - Current Cardiology Reports
JF - Current Cardiology Reports
SN - 1523-3782
IS - 5
M1 - 29
ER -