Gupta Anuj, Burke James, Bove Alfred
Division of Cardiology, Department of Medicine Temple University Hospital Philadelphia, PA 19140, USA.
Clin Cardiol. 2006 Aug;29(8):341-4. doi: 10.1002/clc.4960290805.
Advances in coronary artery revascularization have been accompanied by clinical trials evaluating these advances. Part I of this paper addressed historic trials related to coronary artery revascularization. This paper reviews the data supporting newer revascularization strategies for our patients, including drug-eluting stents and off-pump coronary artery bypass surgery. Benefits include reduced repeat revascularization in patients who undergo percutaneous treatments with drug-eluting stents, the durability of surgical arterial revascularization, and the importance of medical therapy as the mainstay of treatment.
冠状动脉血运重建技术的进步伴随着评估这些进展的临床试验。本文的第一部分论述了与冠状动脉血运重建相关的历史性试验。本文回顾了支持为我们的患者采用更新的血运重建策略的数据,包括药物洗脱支架和非体外循环冠状动脉旁路移植术。其益处包括接受药物洗脱支架经皮治疗的患者再次血运重建率降低、外科动脉血运重建的持久性以及药物治疗作为主要治疗手段的重要性。