摘要
在冠心病的治疗中,合并糖尿病多支病变一直受到人们的广泛关注。虽然药物治疗和血管再灌注技术得到全面的发展,然而冠心病合并糖尿病患者特殊病变仍是临床医生面临的严峻挑战,而且经皮冠脉介入术的预后往往较差。为了进一步降低支架术后并发症,在无植入理念的驱动下,药物涂层球囊、生物可吸收支架等冠状动脉介入治疗新手段应运而生,这就为合并糖尿病特殊病变介入治疗提供了新策略。现以相关文献为基础,对冠心病合并糖尿病患者冠状动脉病变特点、不同阶段的治疗策略进行综述,并为糖尿病多支病变治疗提供一定的理论依据。
In the treatment of coronary heart disease,multi-vessel disease with diabetes mellitus has been widely concerned.Although drug therapy and vascular reperfusion techniques have been fully developed,diabetes mellitus with special coronary heart disease remains a serious challenge for clinicians,and percutaneous coronary intervention or coronary artery bypass grafting have a poor prognosis.In order to further reduce the complications after stenting,driven by the concept of no implantation,new coronary intervention methods such as drug-coated balloon and bioabsorbable stent have emerged,which provide new strategies for interventional treatment of special diabetic lesions.Based on the relevant literature,this paper reviews the characteristics of coronary artery disease in patients with coronary heart disease complicated with diabetic mellitus and the progress of treatment strategies at different stages of development,and provides a theoretical basis for the treatment of diabetic multi-vessel disease.
作者
李景锋
赵玉娟
LI Jingfeng;ZHAO Yujuan(Postgraduate Training Base of The First Affiliated Hospital,Harbin Medical University,Harbin 150001,Heilongjiang,China;Department of Cardiology,The First Affiliated Hospital of Harbin Medical University, Harbin 150001,Heilongjiang,China)
出处
《心血管病学进展》
CAS
2019年第3期425-428,共4页
Advances in Cardiovascular Diseases
关键词
冠心病
糖尿病
经皮冠脉介入术
冠状动脉多支病变
生物可吸收支架
药物涂层球囊
Coronary heart disease
Diabetes mellitus
Percutaneous coronary intervention
Coronary artery bypass grafting
Bioresorbable vascular scaffold
Drug-coated balloon
作者简介
通讯作者:赵玉娟, E-mail:zhaoyujuan1966@sohu.com.
