Savchenko A P, Rudenko B A
Vestn Rentgenol Radiol. 2005 Sep-Oct(5):17-24.
Bifurcation stenoses are one of the most complex categories for endovascular treatment as such lesion requires that the lumen of both a great vessel and a lateral branch be recovered. Introduction of drug-coated stents into clinical practice has changed surgical approaches in this type of an atherosclerotic lesion. The use of two drug-coated endoprostheses or more within the afflicted segment to stent a great vessel or lateral branch does not increase a risk for restenosis. The considerable opportunities of endovascular technologies and the absence of a unified surgical approach in this type of lesion generate a need for systematizing the experience accumulated. The purpose of the present study is to develop an algorithm of bifurcation stenting in different types of X-ray anatomy and morphology of a coronary lesion.
分叉处狭窄是血管内治疗最复杂的类别之一，因为此类病变要求同时恢复大血管和侧支血管的管腔。药物涂层支架引入临床实践改变了这种动脉粥样硬化病变的手术方式。在病变节段内使用两个或更多药物涂层内支架来支撑大血管或侧支血管，并不会增加再狭窄风险。血管内技术有诸多机会，而此类病变缺乏统一的手术方式，因此有必要对积累的经验进行系统化整理。本研究的目的是针对不同类型冠状动脉病变的X线解剖和形态，制定一种分叉处支架置入算法。
