多支血管病变患者的血运重建策略

Revascularization Strategy for Patients with Multivessel Disease

多支血管病变患者的治疗策略选择,应充分考虑各种因素。与单支血管病变患者相比,多支血管病变患者往往合并糖尿病、肾功能不全、既往心肌梗死史和左室射血分数减低。多支血管病变患者的冠状动脉常为钙化、慢性完全闭塞、弥漫和小血管病变,而导致操作过程复杂。血运重建策略的选择应综合考虑所有这些临床、解剖和操作因素。

When approaching a patient with muhivessel disease, there are many factors that should be considered. In comparison with patients who have single-vessle coronary artery disease, these patients are more likely to have multiple comorbid conditions, including diabe- tes, renal insufficiency, prior myocardial infarction （MI） , and reduced left ventricular. They are also more likely to require complex proce- dures for anatomical reasons such as calcified lesions, chronic total occlusions, and diffusely diseased and smaller vessels. All these clinical, anatomic, and procedural variables influence decisions regarding the revascularization strategy.