European Bifurcation Club 2005, EBC 2005 – Bordeaux, France

DEBATE – THE CASE OF DISTAL LEFT MAIN STENOSIS

The case of distal left main stenosis: Should we treat it? – No

Author: W. Wijns, MD, Aalst, Belgium

• CABG provides long-term mortality benefit (15-20 years) both in trials and “real life”
• Recent data with PCI and DES are promising but long term follow-up is lacking (maximum 43 months)
• Randomized data are being collected (Syntax)
• CABG should always be offered as the first choice
• Any other attitude is only possible because we do not (yet) live in a litigation environment

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