冠状动脉分叉病变介入治疗新进展

Advances of Coronary Intervention in Bifurcation Lesions

冠状动脉分叉病变占所有经皮冠状动脉介入术的15%-20%,是冠状动脉介入治疗的难点。目前冠状动脉分叉病变介入治疗常用技术主要包括单支架技术和双支架技术等。现有的治疗技术具有操作复杂、并发症多、术后再狭窄率高等缺点,所以冠状动脉分叉病变的介入治疗成为研究的热点。近年来新兴的拘禁球囊技术,可以简化手术操作,降低手术难度,提高成功率,具有良好的临床应用前景。现对冠状动脉分叉病变的特点及目前冠状动脉分叉病变的介入治疗方法进行综述。

It takes 15% ~ 20% of coronary intervention in bifurcation lesions in all percutaneous coronary intervention,which is the difficulty of coronary intervention. At present,the interventional treatment of coronary bifurcation lesions are used to be technologies including the placement of single stent or double stents. The existing technologies of treatment have the disadvantages of complicated operations,increased complications and the high rate of restenosis after operations and so on,which makes the interventional treatment of coronary bifurcation lesions become a hot research. In recent years,the newly-emerging technology of jailed balloon,can simplify the surgical procedure,reduce the difficulty of operation,improve the success rate,which have broad application prospects for clinical application. The purpose of this paper is to summarize the progress on the characteristics and the treatment of coronary bifurcation lesions.