Laham R J, Carrozza J P, Baim D S
Department of Medicine, Harvard Medical School, Boston, Massachusetts, USA.
Cathet Cardiovasc Diagn. 1996 Jan;37(1):77-80. doi: 10.1002/(SICI)1097-0304(199601)37:1<77::AID-CCD20>3.0.CO;2-S.
Coronary artery bypass surgery remains the standard modality for revascularization of significant left main coronary artery stenoses. Despite major improvement in equipment and operator technique, balloon angioplasty of significant unprotected left main obstruction generally is contraindicated. When catheter intervention is required, Palmaz-Schatz stenting may offer better predictability of the acute result, and possibly improved long-term outcome.
冠状动脉搭桥手术仍然是严重左主干冠状动脉狭窄血运重建的标准术式。尽管设备和术者技术有了重大改进，但严重的无保护左主干梗阻的球囊血管成形术通常是禁忌的。当需要进行导管介入治疗时，Palmaz-Schatz支架置入术可能会提供更好的急性结果可预测性，并可能改善长期预后。
