Sussex Cardiac Centre, University Hospitals Sussex NHS Trust, Brighton, United Kingdom.
Department of Cardiology, University Clinical Center of Serbia, and Faculty of Medicine, University of Belgrade, Belgrade, Serbia.
EuroIntervention. 2022 Jul 22;18(4):e273-e291. doi: 10.4244/EIJ-D-21-01065.
Bifurcation coronary artery disease is common as the development of atherosclerosis is facilitated by altered endothelial shear stress. Multiple anatomical and physiological factors need to be considered when treating bifurcation lesions. To achieve optimal results, various stenting techniques have been developed, each with benefits and limitations. In this state-of-the-art review we describe technically important characteristics of bifurcation lesions and summarise the evidence supporting contemporary bifurcation techniques.
分叉状冠状动脉疾病很常见，因为动脉粥样硬化的发展受到内皮剪切力改变的促进。在治疗分叉病变时需要考虑多个解剖学和生理学因素。为了达到最佳效果，已经开发了各种支架技术，每种技术都有其优点和局限性。在本综述中，我们描述了分叉病变的技术重要特征，并总结了支持当代分叉技术的证据。
