经皮冠状动脉介入治疗中的支架、球囊及混合技术：整体能否大于部分之和？
Stent, balloon and hybrid in PCI: could the whole be greater than the sum of its parts?
作者信息
Lim Pitt O
机构信息
Consultant Cardiologist Department of Cardiology, St. George's Hospital, Blackshaw Road, London, SW17 0QT.
出版信息
Br J Cardiol. 2023 Nov 10;30(4):37. doi: 10.5837/bjc.2023.037. eCollection 2023.
Abstract
Andreas Grüntzig, an ardent angiologist crafted an indeflatable sausage-shaped dual-lumen balloon- catheter, designed its delivery to the heart, launched minimally invasive coronary intervention and taught by beaming live demonstration. Subsequent advances are just incremental tweaks and tinkers around this fully formed framework from 1978. The near-immediate or instant feedback learning process by which the heart responds to any new invasive procedural variation facilitates each new change; be it drug- eluting stent, drug-coated balloon, or both in different combinations and permutations. Now with Grüntzig's balloon armed with an antiproliferative drug, it could dominate the field once more, as he originally envisaged.
摘要
安德烈亚斯·格鲁恩茨格是一位热情的血管病学家，他制作了一种不可膨胀的香肠形状的双腔球囊导管，设计了将其输送到心脏的方法，开展了微创冠状动脉介入治疗，并通过现场直播演示进行教学。自1978年这个完整的框架形成以来，后续的进展都只是在其基础上进行的渐进式微调。心脏对任何新的侵入性手术变化所做出的近乎即时的反馈学习过程促进了每一项新的改变，无论是药物洗脱支架、药物涂层球囊，还是两者的不同组合和排列。现在，格鲁恩茨格的球囊配备了抗增殖药物，它可能会再次像他最初设想的那样主导该领域。
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