Abstract
Left main disease represents the most serious anatomic subset of coronary artery disease. Revascularization indications have changed as the methods of increasing blood flow to heart have improved. While randomized studies supply the most important information for the formulation of the society guidelines, registry studies provide supplemental information to guideline writing committees. The Gulf Left Main Registry study has published five papers in addition to the article on anemic undergoing left main revascularization in this Journal. A summary of all papers is reviewed. The results of these six papers provide information that might especially help clinicians in this region to counsel their patients on which form of revascularization to choose. In general, these papers favor percutaneous revascularization more than would be suggested in the guidelines. Signals from these papers provide grist for future investigations.
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