冠状动脉分叉病变介入治疗现状

Interventional treatment for coronary bifurcation lesions

分叉病变是冠心病介入治疗操作中最具挑战性的病变之一。近些年,随着器材的创新,技术的改进,越来越多的病例采用介入治疗,但是采用何种策略治疗仍然是每个介入医生每天都要面对的问题,本文将介绍近年来有关分叉病变介入治疗方面的一些技术和方法及各种方法的比较。

Treatment of coronary bifurcation lesions represents a challenging area in interventional cardiology, but recent advances in percutaneous coronary interventions have led to a dramatic increase in the number of patients successfully treated percutaneously. In the era of drug-elutlng stents, crush stenting technique simplified the procedure, concurrently allowing full lesion coverage. This article will provide a contemporary review of percutaneous intervention for these lesion subsets and describe the relative merits of each of the different strategies in current use with a glimpse into what the future may hold.