分次介入治疗策略在多支血管病变中的应用进展
李俭强,李悦,赵继义,李为民
摘要(Abstract):
<正>多支血管病变(多支病变)的经皮冠状动脉介入治疗(PCI)极富挑战性,其复杂程度和手术风险远高于单支病变,血运重建策略的选择也存有争议。研究表明,与不完全性血运重建相比,完全性血运重建显著提高多支病变患者的预后,是介入治疗的首选策略[1]。但对于完全性血运重建,是选择一次性PCI还是分次PCI则一直是争论的焦点。1.ST段抬高型急性心肌梗死(ST segment elevation myocardial infarction,STEMI)伴多支病变:研究表明,超过50%的STEMI患者伴有多支病变,其PCI策略包括只处理梗死相关血管(infarct-related artery,IRA)、一次性处理多支血
关键词(KeyWords):
基金项目(Foundation): 哈尔滨市科技攻关计划项目(2007AA3CS082)
作者(Author): 李俭强,李悦,赵继义,李为民
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