Tajstra Mateusz, Gąsior Mariusz, Filipiak Krzysztof, Zembala Michał, Hrapkowicz Tomasz, Hawranek Michał, Kazik Anna, Poloński Lech, Zembala Marian
Śląskie Centrum Chorób Serca, Zabrze.
Kardiol Pol. 2011;69(3):270-3; discussion 274.
According to current guidelines surgical revascularisation is a gold standard of treatment in patients with multivessel and left main coronary disease. Hybrid revascularisation, in two stages: first - minimally invasive direct coronary artery bypass grafting procedure with left internal mammary artery conduit to left anterior descending artery and second stage - percutaneus coronary intervention with drug eluting stent in non-left anterior descending vessels may be safe and effective alternative in patients with multivessel and left main coronary disease.
根据当前指南,手术血运重建是多支血管病变和左主干冠状动脉疾病患者的治疗金标准。杂交血运重建分两个阶段:第一阶段——采用左乳内动脉血管桥至左前降支的微创直接冠状动脉旁路移植术,第二阶段——在非左前降支血管中使用药物洗脱支架进行经皮冠状动脉介入治疗,对于多支血管病变和左主干冠状动脉疾病患者而言,这可能是一种安全有效的替代方案。