In current revascularization guidelines, proximal left anterior descending (P-LAD) coronary artery stenosis is discussed separately, mainly because of a higher adverse event risk and benefits of bypass surgery.

Editors

JACC: Cardiovascular Interventions Editor-in-Chief
David J. Moliterno, MD, FACC

JACC: Cardiovascular Interventions CME Editor
Michael C. McDaniel, MD

Authors

Rosaly A. Buiten, MD
Ariel Roguin, MD, PHD
Clemens von Birgelen, MD, PHD
Paolo Zocca, MD

CME Information

Target Audience

JACC Journal CME/MOC/ECME is intended for physicians who treat patients with cardiovascular disease.

Important Dates

Date of Release: April 6, 2020
Term of Approval/Date of CME/MOC/ECME Expiration: April 5, 2021

Learner Objectives
After reading this article the reader should be able to:

• Identify the proximal left anterior descending (LAD) artery on coronary angiograms.
• Identify differences between first- and new-generation drug-eluting stents.
• Compare clinical outcomes of patients treated in the proximal LAD with patients treated in other segments.
• Identify differences in clinical outcomes for patients with isolated proximal LAD disease treated with bypass surgery or percutaneous coronary intervention.
• Apply current guidelines to select the optimal revascularization strategy in patients with proximal LAD disease.

Method of Participation and Claiming Credit
This ACC JACC Journals CME/MOC/ECME activity includes the reading of an article published in one of the JACC journals and the successful completion of self-assessment questions.  

Method of Participation and Claiming Credit
This ACC JACC Journals CME/MOC/ECME activity includes the reading of an article published in one of the JACC journals and the successful completion of self-assessment questions.  

Requesting AMA PRA Category 1 CME Credit™ and/or MOC or ECME credit for this Activity
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