Ramsay-Générale de Santé, Institut Cardiovasculaire Paris Sud, Hôpital Privé Jacques Cartier, Massy and Hôpital Privé Claude Galien, Quincy, France.
Division of Cardiology, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia.
JACC Cardiovasc Interv. 2016 Sep 26;9(18):1861-78. doi: 10.1016/j.jcin.2016.06.056.
Coronary bifurcations are frequent and account for approximately 20% of all percutaneous coronary interventions. Nonetheless, they remain one of the most challenging lesion subsets in interventional cardiology in terms of a lower procedural success rate and increased rates of long-term adverse cardiac events. Provisional side branch stenting should be the default approach in the majority of cases and we propose easily applicable and reproducible stepwise techniques associated with low risk of failure and complications.
冠状动脉分叉病变较为常见，约占所有经皮冠状动脉介入治疗的 20%。尽管如此，在介入心脏病学中，它们仍然是最具挑战性的病变亚组之一，其手术成功率较低，长期不良心脏事件发生率较高。在大多数情况下，临时分支支架置入术应作为首选方法，我们提出了易于应用和可重复的分步技术，其失败和并发症的风险较低。
