冠脉分叉病变的介入治疗现状

被引：5

作者：

胡学俊 ^{[1
]}

高文俊 ^{[1
]}

刘文洁 ^{[2
]}

柯永胜 ^{[2
]}

机构：

[1] 皖南医学院

[2] 皖南医学院附属弋矶山医院心内科

来源：

中华全科医学 | 2009年 / 7卷 / 06期

关键词：

冠状动脉; 分叉病变; 支架; 介入治疗;

D O I：

10.16766/j.cnki.issn.1674-4152.2009.06.030

中图分类号：

R543 [血管疾病];

学科分类号：

1002 ; 100201 ;

摘要：

冠状动脉分叉病变的介入治疗由于存在边支堵塞的风险在技术应用上受到限制。与非分叉病变相比,分叉病变的介入治疗有相对低的手术成功率、更大的手术花费和更高的再狭窄率。药物涂层支架的使用,使主支的再狭窄发生率有所下降,但边支开口的再狭窄和分叉病变长期预后中存在的再狭窄问题依然存在。在药物涂层支架时代,已出现双支架的治疗策略。通常根据分叉病变的不同类型采用不同的治疗技术,主支支架术加必要时边支支架术是目前通常采取的技术策略。

引用

页码：641 / 644

页数：4

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