单支架植入术治疗冠状动脉分叉病变的边支保护策略应用进展  

Progress in the application of single-choice stenting for the treatment of coronary artery bifurcation lesions with side branch protection strategies

作　　者：苏晓琳[1] 邝日禹[1] SU Xiaolin;KUANG Riyu(Department of Cardiology,National Hospital of Guangxi Zhuang Autonomous Region,Nanning,Guangxi 530001,China)

机构地区：[1]广西壮族自治区民族医院心血管内科,广西南宁530001

出　　处：《医药前沿》2021年第2期27-28,30,共3页Journal of Frontiers of Medicine

摘　　要：经皮冠状动脉介入(percutaneous coronary intervention,PCI)是临床治疗冠心病的主要方法,该方法操作具有一定难度,特别是冠脉分叉病变患者,术后再狭窄率及并发症较高。选择何种支架植入术治疗冠状动脉分叉病变仍存在一定争议。临床研究显示,对于边支狭窄程度低,供血范围小的冠状动脉分支患者采用单支架植入术更适合,但在治疗过程中需要对边支进行保护措施,以降低围手术期患者心肌梗死发生率等。本文将对冠状动脉分叉病变患者边支保护策略进行系统综述。Percutaneous coronary intervention(PCI)is the main method for clinical treatment of coronary heart disease,but this method is difficult to operate,especially for patients with coronary artery bifurcation disease,the postoperative restenosis rate and complications are high.There is still some controversy about the choice of stent to treat coronary artery bifurcation lesions.Clinical studies have shown that single stent surgery is more suitable for patients with coronary artery branches with low degree of stenosis of the side branches and small blood supply range,but protection measures for the side branches are required during the treatment to reduce the incidence of myocardial infarction in patients during the perioperative period.This article will systematically review the side branch protection strategies of patients with coronary artery bifurcation disease.

关 键 词：单支架植入术 冠状动脉分叉病变 边支保护策略 应用进展 

分 类 号：R543.3[医药卫生—心血管疾病]