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To the Editor:With great interest, we have read the article by Takagi et al1 that reported favorable results of elective percutaneous interventions (PCI) of unprotected left main (LM) coronary arteries in comparison with previous studies.2,3 However, because of a lack of well-designed prospective studies comparing aorto-coronary bypass (ACB) surgery with PCI, unrestricted recommendations for elective PCI of obstructed LM trunks cannot be made for patients with low surgical risk.4 However, in severely ill patients (under resuscitation and in cardiogenic shock), in whom surgical revascularization cannot be carried out, PCI of the LM trunk …

Beneficial Outcome After Angioplasty of Unprotected Left Main Stenosis in Patients During Resuscitation