The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)

EDITORIAL

Is the proximal left anterior descending coronary artery segment justifiably considered as the last frontier for stenting?

EuroIntervention 2018;14:729-731. DOI: 10.4244/EIJV14I7A127

1. Department of Cardiology, Rambam Medical Center, Haifa, Israel; 2. London Health Sciences Center, London, ON, Canada; 3. Department of Cardiology, Thoraxcentrum Twente, Medisch Spectrum Twente, Enschede, the Netherlands


When an ischaemia-provoking lesion in the proximal right coronary artery (RCA) or left circumflex (LCx) artery is detected, operators may immediately proceed to perform percutaneous coronary intervention (PCI). However, if the lesion is located in the proximal left anterior descending (LAD) artery, current guidelines advise pausing first to discuss the need for and the optimal method of revascularisation.

As the LAD artery supplies 45-55% of the left ventricular myocardium, LAD disease is thought to represent a higher cardiovascular risk. Consequently, in the revascularisation guidelines there are special sections dedicated not only to left main coronary artery disease and ...

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