Hoye Angela, van der Giessen Wim J
Thoraxcenter, Erasmus Medical Center, Rotterdam, The Netherlands.
J Interv Cardiol. 2004 Dec;17(6):397-403. doi: 10.1111/j.1540-8183.2004.04082.x.
Percutaneous coronary intervention of bifurcation lesions is associated with lower procedural success rates, and an increased subsequent rate of major adverse cardiac events and restenosis. Currently, an array of stenting possibilities suggests a rational approach to treat various bifurcation lesions with appropriate techniques. This is however seldom the case. The main problems of treating bifurcation lesions remain plaque shift leading to (threatened) side branch occlusion, and either too much or insufficient side branch ostial stent coverage predisposing to impaired side branch access or restenosis, respectively. This paper reviews the available technologies and their relative merits.
经皮冠状动脉介入治疗分叉病变的手术成功率较低，随后主要不良心脏事件和再狭窄的发生率会增加。目前，一系列的支架置入可能性提示了一种采用适当技术治疗各种分叉病变的合理方法。然而，实际情况很少如此。治疗分叉病变的主要问题仍然是斑块移位导致（有风险的）分支闭塞，以及分支开口处支架覆盖过多或不足，分别易导致分支通路受损或再狭窄。本文综述了现有的技术及其相对优点。
