Handbook of the Left Main Stem Disease examines the pathology, invasive and non-invasive diagnosis, treatment and management of this condition.

Full colour throughout, this timely book features:

• An extensive focus on the decision to perform, and the practical application of percutaneous coronary interventions, which offer an alternative to the more traditional revascularization by coronary artery bypass graft surgery (CABG)
• 120 figures and tables to illustrate and support the text
• An outstanding array of experienced cathereterization lab contributors

Well supported by published clinical data, Handbook of the Left Main Stem Disease is requisite reading for all interventional cardiologists, whether qualified or in-training.

Contents

Pathology

• Atherosclerotic LM disease
• Non atherosclerotic LM disease
• Pathology of LM intervention

Natural history of medical and surgical treatment

• Natural history of LM disease
• Results of surgery for LM disease

Non-invasive diagnosis

• Stress testing
• Radionuclide angiography and perfusion scanning
• Echocardiography
  
  • Detection of LM disease by transthoracic echocardiography
  • Exercise echocardiography
  • Detection of LM disease by transesophageal echocardiography
  • MR imaging
  • CT imaging IV

Invasive diagnosis

• Physiologic assessment
• IVUS assessment

Interventional treatment

• Non-stent intervention
• Bare metal stenting
• Drug-eluting stenting
• Debulking+stenting
• Specific lesion considerations
  
  • Ostial lesions
  • Distal bifurcation lesions
  • In-stent restenosis

• Hemodynamic support

Management of LM complications

Treatment of left main stem with concomitant diseases

• Congenital heart disease
• Valvular disease
• Aortic root disease
• Other coronary artery disease

When to refer to surgery?

Index

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