Left Main Coronary Disease – Selecting the Best Treatment

<p>Left Main Coronary Disease – Selecting the Best Treatment </p> <p>Guests: Malcolm R. Bell, M.D. and Juan A. Crestanello, M.D.</p> <p>Host: Kyle W. Klarich, M.D. (<a href='http://twitter.com/KyleWKlarich'>@KyleWKlarich</a>)</p> <p>In patients with left main coronary artery disease of low or intermediate anatomical complexity, there was no significant difference between percutaneous coronary intervention and coronary-artery bypass grafting with respect to the rate of the composite outcome of death, stroke, or myocardial infarction at 5 years.</p> <p>Joining us today to discuss the findings of the EXCEL Trail and how it has impacted clinical treatment is Juan A. Crestanello, M.D., a cardiovascular surgeon and Chair of the Department of Cardiovascular Surgery, and Malcolm R. Bell, M.D., an interventional cardiologist and Vice Chair of Cardiology at Mayo Clinic in Rochester, Minnesota. </p> <p>Specific topics discussed:</p> <ul><li>Patients studied in the EXCEL trial and major outcomes</li> <li>5 year outcome of death, stroke, or myocardial infarction between coronary-artery bypass grafting or percutaneous coronary intervention</li> <li>Patient differences in coronary-artery bypass grafting versus percutaneous coronary intervention</li> <li>Impact the EXCEL trial has had in the clinical setting</li> <li>What types of patients are recommend for coronary-artery bypass grafting versus percutaneous coronary intervention</li> </ul> <p>Connect with Mayo Clinic's Cardiovascular Continuing Medical Education online at <a href='https://cveducation.mayo.edu'>https://cveducation.mayo.edu</a> or on Twitter <a href='https://www.twitter.com/mayocliniccv'>@MayoClinicCV</a>.</p> <p>NEW Cardiovascular Education App: The Mayo Clinic Cardiovascular CME App is an innovative educational platform that features cardiology-focused continuing medical education wherever and whenever you need it. Use this app to access other free content and browse upcoming courses. Download it for free in <a href='https://apps.apple.com/us/app/mayo-clinic-ca