Percutaneous transcatheter assessment of the left main coronary artery

current status and future directions

Rong Bing, Andy S. C. Yong, Harry C. Lowe*

*Corresponding author for this work

Research output: Contribution to journalReview article

15 Citations (Scopus)

Abstract

Accurate assessment of the left main coronary artery (LMCA) is critical in determining treatment strategies and delineating revascularization options to improve prognosis. There has been an evolution in invasive techniques that allow detailed assessment of both function and anatomy. As technologies advance, there is an increasing amount of evidence supporting the use of percutaneous coronary intervention for the LMCA. This state-of-the-art paper provides an in-depth exploration of intravascular ultrasound, fractional flow reserve, and optical coherence tomography. A discussion is provided that explores the basis for application of these technologies, the body of evidence for each modality and its use in LMCA assessment, and the potential role in post-PCI optimization in what is a dynamically changing field.

Original languageEnglish
Pages (from-to)1529-1539
Number of pages11
JournalJACC: Cardiovascular Interventions
Volume8
Issue number12
DOIs
Publication statusPublished - 1 Oct 2015
Externally publishedYes

Keywords

  • let main
  • optical coherence
  • pressure wire
  • ultrasound

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