Left Main Coronary Artery Percutaneous Interventions: Materials and Techniques


Before discussing this topic in more detail, a series of general considerations needs to be made:
  • not all LMCA lesions should be treated with PCI

  • LMCA lesions can be easily treated without major concerns in experienced centers by skilled and experienced operators

  • the success of LMCA PCI depends on the availability of material and devices and the use of an appropriate technique

  • in all LMCA lesions, pre-dilatation provides sufficient blood flow inside the main left coronary artery

  • on the other hand, a tight lesion allows a stable stent positioning, especially at an ostial or shaft location

  • when treating bifurcations, temporary occlusion of the LMCA, LAD, and LCX during use of a kissing balloon does not jeopardize the procedure

  • the learning curve is crucial in choosing the best option for each case, after guiding catheter positioning.


Right Coronary Artery Side Branch Left Main Coronary Artery Bifurcation Lesion Ostial Lesion 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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© Springer-Verlag Italia 2009

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