Minimally invasive bypass surgery and coronary stenting are equally effective in managing patients with isolated high-grade lesions of the proximal left anterior descending artery. However, although stenting yields excellent short-term results with fewer periprocedural adverse events, surgery proves better at six months in terms of freedom from angina and need for repeated procedures, a randomised study in Germany has found.
High-grade stenosis of the proximal left anterior descending coronary artery in patients with single-vessel disease is linked with a significantly worse prognosis than lesions at any other location. Both minimally invasive bypass surgery and coronary-artery stenting are accepted treatments.
Dr. Anno Diegeler and colleagues from the University of Leipzig Heart Center, Leipzig sought to compare the two procedures in terms of clinical outcomes.
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