冠心病分叉病变的处理原则

Principles in Managing Coronary Bifurcation Lesions

冠状动脉分叉病变是冠心病介入治疗领域颇具挑战性的病变类型,其手术技术复杂,术后再狭窄率高,即使在药物洗脱支架时代,分支再狭窄率仍未显著降低。分叉病变介入治疗的原则包括分支保护、合理选择支架植入策略、对吻球囊后扩张等。

Coronary bifurcation is one of the most challenging lesion subsets in coronary percutaneous intervention, Treatment of bifurcation is associated with technique problems and a relative high restenosis rate, Side branch restenosis after procedure remain a problem even in drug-eluting stent era, The principles in managing bifurcation lesions include protection of side branch, optimal stent implantation strategies and final kissing balloon, and so forth.