Heintzen M P, Michel C J, Strauer B E
Medizinische Klinik und Poliklinik B Kardiologie, Pneumologie und Angiologie Heinrich-Heine-Universität, Düsseldorf.
Z Kardiol. 1998;87 Suppl 2:157-65. doi: 10.1007/s003920050555.
Currently, catheter-based coronary therapy is performed using multiple interventional devices. Conventional balloon dilatation is still the dominating therapeutic modality with sufficient results in the majority of coronary lesions. Several alternative new devices were developed to improve acute results and long-term patency compared to balloon dilatation. With use of these devices (stents, coronary atherectomy, laser angioplasty or high speed rotablator) not every coronary lesion can be successfully treated, but several special indications for a differential indication of each of these systems have been found in randomized trials or clinical use. In this review, potential catheter-based strategies for a differential interventional treatment of patients with coronary artery disease are discussed.
目前，基于导管的冠状动脉治疗是使用多种介入设备进行的。传统的球囊扩张术仍然是主要的治疗方式，在大多数冠状动脉病变中都能取得足够的治疗效果。与球囊扩张术相比，人们开发了几种新型替代设备，以改善急性治疗效果和长期通畅率。使用这些设备（支架、冠状动脉旋切术、激光血管成形术或高速旋磨术）并不能成功治疗所有冠状动脉病变，但在随机试验或临床应用中已经发现了这些系统各自不同的特殊适应证。在这篇综述中，我们讨论了针对冠心病患者进行差异化介入治疗的潜在导管策略。
