无保护的左主干远端经皮介入治疗。

IF 5.6 2区医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS

Progress in cardiovascular diseases Pub Date : 2025-01-01 DOI:10.1016/j.pcad.2024.12.006

Imad Bagh , Rajan A.G. Patel

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引用次数: 0

摘要

对于严重的无保护的左主干冠状动脉（LMCA）疾病，血管重建术已被证明明显优于药物治疗。冠状动脉搭桥手术（CABG）在美国和欧洲治疗LMCA疾病的社会指南中都被列为1级适应症。然而，对于在心脏小组评估后拒绝冠脉搭桥的患者群体，经皮冠状动脉介入治疗（PCI）可能是一种有效的选择。本文综述了经皮冠状动脉介入治疗左主干远端疾病的资料，包括各种现代技术和相关挑战。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Unprotected distal left main percutaneous intervention

Revascularization has been demonstrated to be clearly superior to medical therapy for significant unprotected left main coronary artery (LMCA) disease. Coronary artery bypass graft surgery (CABG) has a class 1 indication in both the American and European society guidelines for the treatment of LMCA disease. However, for the population of patients who are declined CABG after a heart team evaluation, percutaneous coronary interventional (PCI) may be an efficacious alternative. This review summarizes the data on percutaneous coronary intervention of distal left main coronary artery disease including the various contemporary techniques and associated challenges.

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来源期刊

Progress in cardiovascular diseases 医学-心血管系统

CiteScore

10.90

自引率

6.60%

发文量

审稿时长

7 days

期刊介绍： Progress in Cardiovascular Diseases provides comprehensive coverage of a single topic related to heart and circulatory disorders in each issue. Some issues include special articles, definitive reviews that capture the state of the art in the management of particular clinical problems in cardiology.