Sullivan Alexander E, Shelton Julie, Barker Colin, Goel Kashish
Division of Cardiology, Vanderbilt University Medical Center, Nashville, TN.
J Soc Cardiovasc Angiogr Interv. 2022 Jan 30;1(1):100007. doi: 10.1016/j.jscai.2021.100007. eCollection 2022 Jan-Feb.
-Optimal PCI may be challenging with calcified left main bifurcation lesions-Orbital atherectomy is a common strategy for lesion optimization-Side branch occlusion is a feared complication of orbital atherectomy-Utilizing microcatheter wire protection can minimize occlusion risk with orbital atherectomy.
对于钙化的左主干分叉病变,优化经皮冠状动脉介入治疗(PCI)可能具有挑战性
轨道旋切术是病变优化的常用策略
侧支闭塞是轨道旋切术令人担忧的并发症
使用微导管导丝保护可将轨道旋切术的闭塞风险降至最低