Rozenman Y, Lotan C, Nassar H, Gotsman M S
Cardiology Dept., Hadassah-University Hospital (Ein Kerem), Jerusalem.
Harefuah. 1998 Mar 15;134(6):435-8, 503.
Coronary artery bypass grafting is the treatment of choice for obstructive disease of the left main coronary artery. Its proximal location and easy accessibility make the left main artery an inviting target for percutaneous intervention, an approach contraindicated by the high associated risk. We describe 2 patients at high operative risk in whom the obstructed main coronary artery was successfully revascularized percutaneously. Coronary stenting and rotational ablation of calcified arteries are essential for successful outcome and minimize complications.
冠状动脉旁路移植术是治疗左主干冠状动脉阻塞性疾病的首选方法。左主干的近端位置和易于接近使其成为经皮介入治疗的诱人靶点，但这种方法因相关风险高而被视为禁忌。我们描述了2例手术风险高的患者，其阻塞的冠状动脉主干经皮成功实现了血运重建。冠状动脉支架置入术和钙化动脉的旋磨术对于取得成功结果和减少并发症至关重要。
