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

Tools & Techniques

Tools & Techniques: Risk stratification and diagnostic tools in left main stem intervention

EuroIntervention 2011;7:747-753. DOI: 10.4244/EIJV7I6A118

Vasim Farooq, Jung Ho Heo and Lorenz Räber contributed equally to this article.

The following article, in the EuroIntervention Tools & Techniques series, is a contemporary overview of the established and emerging diagnostic tools for left main stem (LMS) intervention for the clinician. The paper highlights key salient messages in the management of LMS disease, ranging from risk stratification, in conjunction with the SYNTAX trial pioneered “Heart Team” approach, to principles of intravascular ultrasound (IVUS), optical coherence tomography (OCT) and physiological assessments of lesions – either invasively (pressure wire assessment) or non-invasively (Heartflow™ technology [HeartFlow Inc., Redwood City, CA, USA] applied to computed tomography angiography) – and how this influences distal LMS bifurcation ...

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