急性冠状动脉综合征介入治疗最新进展

被引:47
作者
高立建
陈纪林
机构
[1] 中国医学科学院 北京协和医学院心血管病研究所 阜外心血管病医院冠心病诊治中心
关键词
急性冠状动脉综合征; 再灌注治疗; 经皮冠状动脉介入治疗;
D O I
暂无
中图分类号
R541.4 [冠状动脉(粥样)硬化性心脏病(冠心病)];
学科分类号
100201 [内科学];
摘要
急性冠状动脉(冠脉)综合征(ACS)是急性心肌缺血引起的临床综合征。这类患者的致死率和致残率高,早期再灌注治疗可明显降低主要终点事件(死亡、心肌梗死、卒中)的风险,而高龄ACS患者介入治疗经风险评估后年龄并不是治疗策略的唯一决定因素,应采取积极的干预策略;新一代药物洗脱支架在ACS的治疗中表现出优于裸金属支架,MGuard栓塞保护支架治疗ACS显示出较好的初步结果;血栓抽吸装置可降低无再流发生,但临床终点事件(主要心脏不良事件、死亡、再梗死率、支架内血栓形成、主要出血发生率)仍有争议,有待进一步探讨。
引用
收藏
页码:3 / 5
页数:3
相关论文
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