Pellegrini Dario, Ielasi Alfonso, Tespili Maurizio, Guagliumi Giulio, De Luca Giuseppe
Division of Cardiology, IRCCS Ospedale Galeazzi-Sant'Ambrogio, Via Cristina Belgioioso, 173, 20161 Milan, Italy.
Division of Cardiology, AOU "Policlinico G. Martino", Via Consolare Valeria, 1, 98124 Messina, Italy.
J Clin Med. 2023 Jul 28;12(15):4972. doi: 10.3390/jcm12154972.
Percutaneous treatment of the left main coronary artery is one of the most challenging scenarios in interventional cardiology, due to the large portion of myocardium at risk the technical complexity of treating a complex bifurcation with large branches. Our aim is to provide un updated overview of the current indications for percutaneous treatment of the left main, the different techniques and the rationale underlying the choice for provisional versus upfront two-stent strategies, intravascular imaging and physiology guidance in the management of left main disease, and the role of mechanical support devices in complex high-risk PCI.
经皮治疗左主干冠状动脉是介入心脏病学中最具挑战性的情况之一，这是因为存在风险的心肌范围大，以及治疗带有大分支的复杂分叉病变的技术复杂性。我们的目的是提供一份关于左主干经皮治疗的当前适应证、不同技术以及临时与预先使用双支架策略选择的基本原理、左主干疾病管理中的血管内成像和生理学指导，以及机械支持装置在复杂高危经皮冠状动脉介入治疗中的作用的最新概述。
