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当前治疗显著左主干冠状动脉疾病的方法:综述。

Current treatment of significant left main coronary artery disease: A review.

机构信息

Interventional Cardiology Department, Ramsay Générale de Santé, Institut Cardiovasculaire Paris Sud, Massy, France.

Interventional Cardiology Department, Ramsay Générale de Santé, Institut Cardiovasculaire Paris Sud, Massy, France.

出版信息

Trends Cardiovasc Med. 2018 Jul;28(5):357-364. doi: 10.1016/j.tcm.2017.12.013. Epub 2018 Jan 5.

DOI:10.1016/j.tcm.2017.12.013
PMID:29336945
Abstract

Though infrequent, left main stenosis has a major prognostic impact. The management of left main disease has evolved over the last few decades with the growing evidence of the efficacy and safety of percutaneous interventions, as attested by the most recent trials. However, mastery of the technical aspects of left main bifurcation stenting is essential in ensuring optimal results. This review focuses on recent data concerning left main angioplasty results as well as the current technical approaches.

摘要

尽管不常见,但左主干狭窄具有重大预后影响。随着经皮介入治疗的疗效和安全性的证据不断增加,左主干疾病的治疗在过去几十年中发生了演变,最近的试验也证明了这一点。然而,掌握左主干分叉支架置入术的技术方面对于确保最佳结果至关重要。本文重点介绍了最近有关左主干血管成形术结果的数据以及当前的技术方法。

相似文献

1
Current treatment of significant left main coronary artery disease: A review.当前治疗显著左主干冠状动脉疾病的方法:综述。
Trends Cardiovasc Med. 2018 Jul;28(5):357-364. doi: 10.1016/j.tcm.2017.12.013. Epub 2018 Jan 5.
2
Left Main Stenting in Comparison With Surgical Revascularization: 10-Year Outcomes of the (Left Main Coronary Artery Stenting) LE MANS Trial.左主干支架置入术与外科血运重建术的比较:(左主干冠状动脉支架置入术)勒芒试验的10年结果
JACC Cardiovasc Interv. 2016 Feb 22;9(4):318-327. doi: 10.1016/j.jcin.2015.10.044.
3
Long-term clinical outcomes after percutaneous coronary intervention for ostial/mid-shaft lesions versus distal bifurcation lesions in unprotected left main coronary artery: the DELTA Registry (drug-eluting stent for left main coronary artery disease): a multicenter registry evaluating percutaneous coronary intervention versus coronary artery bypass grafting for left main treatment.经皮冠状动脉介入治疗开口/中段病变与无保护左主干冠状动脉分叉病变的长期临床结局:DELTA 注册研究(左主干冠状动脉疾病药物洗脱支架):一项多中心注册研究,评估经皮冠状动脉介入治疗与冠状动脉旁路移植术治疗左主干的疗效。
JACC Cardiovasc Interv. 2013 Dec;6(12):1242-9. doi: 10.1016/j.jcin.2013.08.005.
4
Current Interventions for the Left Main Bifurcation.左主干分叉病变的现行介入治疗
JACC Cardiovasc Interv. 2017 May 8;10(9):849-865. doi: 10.1016/j.jcin.2017.02.037.
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Coronary bypass surgery versus stenting in multivessel disease involving the proximal left anterior descending coronary artery.在涉及左冠状动脉前降支近端的多支血管病变中,冠状动脉搭桥手术与支架置入术的比较
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Understanding Left Main Disease: Will the Right SYNTAX Help Us EXCEL in (PRE)COMBAT?了解左主干病变:右心SYNTAX评分能否助力我们在(术前)治疗中表现出色?
J Cardiovasc Transl Res. 2015 Jun;8(4):209-10. doi: 10.1007/s12265-015-9635-3. Epub 2015 Jun 2.
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Impact of coronary anatomy and stenting technique on long-term outcome after drug-eluting stent implantation for unprotected left main coronary artery disease.药物洗脱支架置入治疗无保护左主干冠状动脉疾病后,冠状动脉解剖结构和支架技术对长期预后的影响。
JACC Cardiovasc Interv. 2014 Jan;7(1):29-36. doi: 10.1016/j.jcin.2013.08.013. Epub 2013 Dec 11.
8
Comparison of Stenting Versus Bypass Surgery According to the Completeness of Revascularization in Severe Coronary Artery Disease: Patient-Level Pooled Analysis of the SYNTAX, PRECOMBAT, and BEST Trials.比较严重冠状动脉疾病患者完全血运重建患者中支架置入术与旁路移植术的疗效:SYNTAX、PRECOMBAT 和 BEST 临床试验的患者水平汇总分析
JACC Cardiovasc Interv. 2017 Jul 24;10(14):1415-1424. doi: 10.1016/j.jcin.2017.04.037.
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Management of Left Main Coronary Artery Disease.左主干冠状动脉疾病的管理
J Am Heart Assoc. 2018 Mar 31;7(7):e008151. doi: 10.1161/JAHA.117.008151.
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Percutaneous Coronary Intervention of Left Main Disease: Pre- and Post-EXCEL (Evaluation of XIENCE Everolimus Eluting Stent Versus Coronary Artery Bypass Surgery for Effectiveness of Left Main Revascularization) and NOBLE (Nordic-Baltic-British Left Main Revascularization Study) Era.左主干疾病的经皮冠状动脉介入治疗:EXCEL(评价依维莫司洗脱支架 XIENCE 与冠状动脉旁路移植术治疗左主干血运重建效果)和 NOBLE(北欧-波罗的海-英国左主干血运重建研究)时代之前和之后。
Circ Cardiovasc Interv. 2017 Jun;10(6). doi: 10.1161/CIRCINTERVENTIONS.117.004792.

引用本文的文献

1
Technological Advances Are Associated With Better Clinical Outcomes of Percutaneous Coronary Intervention in Patients With Unprotected Left Main Disease.技术进步与无保护左主干病变患者经皮冠状动脉介入治疗的临床结局改善相关。
J Am Heart Assoc. 2024 Aug 20;13(16):e033929. doi: 10.1161/JAHA.123.033929. Epub 2024 Aug 9.
2
Percutaneous coronary intervention in unprotected left main coronary artery stenosis: Mid-term outcomes of a single-center observational study.经皮冠状动脉介入治疗无保护左主干冠状动脉狭窄:单中心观察研究的中期结果。
Indian Heart J. 2022 Mar-Apr;74(2):96-104. doi: 10.1016/j.ihj.2021.12.014. Epub 2022 Jan 3.
3
Clinical impact of low-radiation computed tomography coronary angiography diagnosis for coronary artery stenosis: Study Protocol.
低辐射计算机断层扫描冠状动脉造影诊断冠状动脉狭窄的临床影响:研究方案。
Medicine (Baltimore). 2019 Nov;98(46):e17474. doi: 10.1097/MD.0000000000017474.