Nef H, Renker M, Hamm C W
Medizinische Klinik I, Kardiologie und Angiologie, Universitätsklinikum Gießen, Klinikstr. 33, 35392, Gießen, Deutschland,
Herz. 2014 Dec;39(8):913-8. doi: 10.1007/s00059-014-4180-4.
One of the most important treatment principles in interventional cardiology relies on myocardial revascularization by percutaneous coronary intervention (PCI) or surgical placement of coronary artery bypass grafts (CABG). However, in order to apply these principles effectively, it is important to identify patients who require revascularization. Consequently, the appropriate method has to be selected to effectively restore blood flow. Patients will only benefit from the interventional or surgical procedures when those revascularization measures that can cause more harm than good are avoided. In the new European Society of Cardiology and European Association for Cardio-Thoracic Surgery (ESC/EACTS) guidelines on myocardial revascularization some new aspects will be addressed.
介入心脏病学中最重要的治疗原则之一是通过经皮冠状动脉介入治疗(PCI)或冠状动脉旁路移植术(CABG)进行手术来实现心肌血运重建。然而,为了有效应用这些原则,识别需要血运重建的患者很重要。因此,必须选择合适的方法来有效恢复血流。只有避免那些弊大于利的血运重建措施,患者才能从介入或外科手术中获益。在欧洲心脏病学会和欧洲心胸外科学会(ESC/EACTS)关于心肌血运重建的新指南中,将探讨一些新的方面。