CABG versus PCI in the Treatment of Unprotected Left Main Disease in Diabetics: A Literature Review.

IF 0.5 Q4 PERIPHERAL VASCULAR DISEASE International Journal of Angiology Pub Date : 2021-11-10 eCollection Date: 2021-09-01 DOI:10.1055/s-0041-1735517
Daniel Lambert, Allan Mattia, Angel Hsu, Frank Manetta
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引用次数: 1

Abstract

The approach to left main coronary artery disease (CAD) in diabetic patients has been extensively debated. Diabetic patients have an elevated risk of left main disease in addition to multivessel disease. Previous trials have shown increased revascularization rates in percutaneous coronary intervention compared with coronary artery bypass grafting (CABG) but overall comparable outcomes, although many of these studies were not using the latest stent technology or CABG with arterial revascularization. Our aim is to review the most recent trials that have recently published long-term follow-up, as well as other literature pertaining to left main disease in diabetic patients. Furthermore, we will be discussing some future treatment strategies that could likely create a paradigm shift in how left main CAD is managed.

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CABG与PCI治疗糖尿病无保护左主干疾病:文献综述。
糖尿病患者左主干冠状动脉病变(CAD)的入路一直备受争议。糖尿病患者除了多血管疾病外,左主干疾病的风险也较高。先前的试验显示,经皮冠状动脉介入治疗与冠状动脉旁路移植术(CABG)相比,血运重建率增加,但总体结果相当,尽管许多研究没有使用最新的支架技术或CABG与动脉血运重建术。我们的目的是回顾最近发表的长期随访的最新试验,以及与糖尿病患者左主干疾病有关的其他文献。此外,我们将讨论一些未来的治疗策略,这些策略可能会在如何管理左主干CAD方面产生范式转变。
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来源期刊
International Journal of Angiology
International Journal of Angiology PERIPHERAL VASCULAR DISEASE-
CiteScore
1.30
自引率
16.70%
发文量
57
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