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Stenting Left Main

Review Article

2017 Nov 10 [Epub ahead of print]

JOURNAL:Cardiovasc Revasc Med.

Left-main restenosis in the DES era-a call for action

di Palma G, Cortese B


Keywords: In-stent restenosis; Sirolimus-coated balloon; Unprotected left main

Percutaneous treatment of the unprotected left main trunk (ULM), defined as a vessel without patent bypass graft either to the left circumflex (LCX) or left anterior descending (LAD) artery, has gained a precise role thanks to recent scientific evidence. Although new generation drug-eluting stents have already proven to be safer, there is still a consistent risk of restenosis and late adverse events. The optimal management of a ULM restenosis is still debated. Here we aim at presenting a review of the available data in literature and show our choice for treating it.