Abstract
Aims: The present systematic review with meta-analysis aims to determine the current evidence for minimally invasive direct coronary artery bypass grafting (MIDCAB) or percutaneous coronary intervention (PCI) for revascularization of the left anterior descending artery (LAD). Both techniques are established therapeutic options. Internal mammary artery grafts (IMA) have proven survival benefits and 10 year patency rates greater than 90% after LAD revascularization. However, due to lower costs, quicker recovery and lesser invasiveness PCI with stenting is currently the most common used treatment for isolated LAD stenosis.
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