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 interventional cardiologists discuss new bifurcation techniques. This book 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.

Includes numerous pictures, angiographies and illustrations Presents comprehensive coverage of LM revascularization in 2019 This book is open access, which means that you have free and unlimited access

Auteur

Bernardo Cortese is an interventional cardiologist, and Director of Cardiology at San Carlo Clinic in Milano. He is an expert in the areas of drug-coated balloons, bioresorbable scaffolds, antithrombotics, optical coherence tomography, and left main coronary revascularization. Dr Cortese has performed more than 3000 coronary and peripheral percutaneous interventions as first operator. He is also consultant Interventional Cardiologist at Gruppo San Donato for peripheral and structural heart interventions.
He is President of the Scientific Committee of Fondazione Ricerca e Innovazione Cardiovascolare, a research institution based in Milano. He is Coordinator of the International Fellowship Program-European Society of Cardiology (ESC), since 2013, and is Coordinator of Clinical & Scientific Research at San Carlo Clinic. He is involved in several educational programs, including the "DEB School", and he is author of more than 300 publications indexed in Pubmed.

Texte du rabat

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 interventional cardiologists discuss new bifurcation techniques. This book 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.

Contenu

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.