基于多项临床研究对左主干病变血运重建策略的思考
杨军芬,臧雁翔,李为民
摘要(Abstract):
<正>左主干病变(left main coronary artery disease,LMCAD)指冠状动脉造影左主干狭窄程度≥50%的病变。左前降支近端以及左回旋支近端狭窄程度≥70%的病变被视为左主干等同病变[1]。EXCEL研究[2]与NOBLE研究[3]均是选择LMCAD患者作为研究对象的多中心随机对照试验(randomized controlled trial, RCT),而SYNTAX研究[4]、MAIN-COMPARE研究[5]中均有对LMCAD血运重建长期预后的分析,同时上述研究修改了欧美指南对LMCAD治疗的推荐等级,将经皮冠状动脉介入治疗(percutaneous coronary intervention,PCI)的等级
关键词(KeyWords): 左主干病变;经皮冠状动脉介入治疗;冠状动脉旁路移植术;预后
基金项目(Foundation):
作者(Author): 杨军芬,臧雁翔,李为民
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