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The Cardiovascular CME podcast is a free educational offering from Mayo Clinic, featuring content geared towards physicians, physician assistants, and nurse practitioners who are interested in exploring a multitude of cardiology-related topics. Tune in and subscribe to explore today’s most pressing cardiology topics with your colleagues at Mayo Clinic and gain valuable insights that can be directly applied to your practice. No CME credit offered for podcast episodes at this time.
Episodes

Tuesday May 03, 2022
Left Main Coronary Disease – Selecting the Best Treatment
Tuesday May 03, 2022
Tuesday May 03, 2022
Left Main Coronary Disease – Selecting the Best Treatment
Guests: Malcolm R. Bell, M.D. and Juan A. Crestanello, M.D.
Host: Kyle W. Klarich, M.D. (@KyleWKlarich)
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.
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.
Specific topics discussed:
- Patients studied in the EXCEL trial and major outcomes
- 5 year outcome of death, stroke, or myocardial infarction between coronary-artery bypass grafting or percutaneous coronary intervention
- Patient differences in coronary-artery bypass grafting versus percutaneous coronary intervention
- Impact the EXCEL trial has had in the clinical setting
- What types of patients are recommend for coronary-artery bypass grafting versus percutaneous coronary intervention
Connect with Mayo Clinic's Cardiovascular Continuing Medical Education online at https://cveducation.mayo.edu or on Twitter @MayoClinicCV.
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No CME credit offered for this episode.
Podcast episode transcript found here.