2009年经皮冠状动脉血运重建术与外科冠状动脉血运重建术的疗效比较：一项综述
The comparative efficacy of percutaneous and surgical coronary revascularization in 2009: a review.
作者信息
May Stephen A, Wilson James M
机构信息
Department of Cardiology, Texas Heart Institute at St. Luke's Episcopal Hospital, Houston, Texas 77030, USA.
出版信息
Tex Heart Inst J. 2009;36(5):375-86.
Abstract
Medical, percutaneous, and surgical therapies for coronary atherosclerotic disease are developing rapidly, with many recent breakthroughs in metabolic control, improvements in catheter and stent engineering, and advances in surgical technique. Treatment guidelines are still in their infancy and do not take into account several of these recent innovations. Consequently, determining the most appropriate treatment for many patients remains challenging. In this review, we examine the most recent revascularization guidelines, discuss important new data and trials comparing contemporary stent technology and coronary artery bypass surgery, and conclude with updated revascularization recommendations.
摘要
治疗冠状动脉粥样硬化疾病的医学、经皮和外科疗法正在迅速发展，在代谢控制方面有许多近期突破，导管和支架工程有所改进，外科技术也取得了进展。治疗指南仍处于起步阶段，并未考虑到其中一些近期的创新。因此，为许多患者确定最合适的治疗方法仍然具有挑战性。在本综述中，我们研究了最新的血运重建指南，讨论了比较当代支架技术和冠状动脉旁路移植术的重要新数据和试验，并给出了更新后的血运重建建议。
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