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Technical refinement for treatment of coronary bifurcation lesion is still demanding

Technical refinement for treatment of coronary bifurcation lesion is still demanding
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摘要 Bifurcation lesions, one of the complex coronary lesion subsets, are usually encountered in around 15%-25% of patients during percutenous coronary intervention (PCI). The treatment of stenoses at a bifurcation poses an ongoing challenge for the interventional cardiologists1-3 as PCI for bifurcation lesions is associated with the reduced procedural success rate and increased angiographic restenosis, especially in the side branch, or even portends a potentially negative impact on long-term clinical outcomes.4,5 The use of drug-eluting stents is generally recommended during bifurcation lesion intervention as it could result in a lower rate of main vessel restenosis. However, side branch ostial residual stenosis and stent thrombosis remain worrisome.6,7 Bifurcation lesions, one of the complex coronary lesion subsets, are usually encountered in around 15%-25% of patients during percutenous coronary intervention (PCI). The treatment of stenoses at a bifurcation poses an ongoing challenge for the interventional cardiologists1-3 as PCI for bifurcation lesions is associated with the reduced procedural success rate and increased angiographic restenosis, especially in the side branch, or even portends a potentially negative impact on long-term clinical outcomes.4,5 The use of drug-eluting stents is generally recommended during bifurcation lesion intervention as it could result in a lower rate of main vessel restenosis. However, side branch ostial residual stenosis and stent thrombosis remain worrisome.6,7
作者 SHEN Wei-feng
出处 《Chinese Medical Journal》 SCIE CAS CSCD 2009年第18期2083-2085,共3页 中华医学杂志(英文版)
作者简介 Email:rj shenweifeng @ yahoo.com.cn
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  • 1CHEN Shao-liang,YE Fei,ZHANG Jun-jie,ZHU Zhong-sheng,LIN Song,SHAN Shou-jie,LIU Zhi-zhong,LIU Yan,DUAN Bao-xiang,GE Jun-bo.DK crush technique: modified treatment of bifurcation lesions in coronary artery[J].Chinese Medical Journal,2005(20):1746-1750. 被引量:35
  • 2KANG Sheng YANG Yue-jin XU Bo CHEN Ji-lin QIAO Shu-bin YAO Min CHEN Jue WU Yong-jian LIU Hai-bo DAI Jun YUAN Jin-qing LI Jian-jun GAO Run-lin.Comparison of drug eluting stents with bare metal stents in daily practice for bifurcation lesions in Chinese patients[J].Chinese Medical Journal,2006(14):1157-1164. 被引量:10
  • 3CHEN Ji-lin GAO Run-lin YANGYue-jin QIAO Shu-bin QIN Xue-wen YAO Min XU Bo LIU Hai-bo WU Yong-jian YUAN Jin-qing CHEN Jue WU Yuan DAI Jun.Short and long-term outcomes of two drug eluting stents in bifurcation lesions[J].Chinese Medical Journal,2007(3):183-186. 被引量:8
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  • 7Assali AR,Assa HV,Ben-Dor I,Teplitsky 1,Solodky A,Brosh D,et al.Drug-eluting stents in bifurcation lesions:to stent one branch or both? Catheter Cardiovasc Interv 2006; 68:891-896.
  • 8Colombo A,Stankovic G,Orlic D,Corvaja N,Liistro E Airodi F,et al.Modified T-stenting technique with crushing for bifurcation lesions:immediate results and 30-day outcome.Catheter Cardiovasc Interv 2003; 60:145-151.
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