完全冠状动脉血运重建的困境

C. Aurigemma
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引用次数: 0

摘要

冠状动脉旁路移植术(CABG)比经皮冠状动脉介入治疗(PCI)更常见地实现CR。在这方面,在决定多血管冠状动脉疾病患者PCI和CABG之间的最佳血运重建策略时,实现CR的可能性是应该考虑的变量之一。然而,临床特征,如患者的年龄、预期寿命、出现时的症状、合并症和左心室功能,可能会增加冠状动脉旁路移植术干预的发病率或死亡风险,在特定的临床亚群中,PCI实现“合理”的不完全血运重建(IR)可能是更好的选择。
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The Dilemma of Complete Coronary Revascularization
The CR is achieved more commonly with coronary artery by-pass (CABG) than with percutaneous coronary intervention (PCI). In this regard, the possibility of achieving CR is one of variable that should be factored when deciding the optimal strategy of revascularization between PCI and CABG in patients with multivessel coronary artery disease. However clinical features, such as patient’s age, life expectancy, symptoms at presentation, comorbidities and left ventricular function may increase the morbidity or mortality risk of CABG intervention and a “reasonable” incomplete revascularization (IR) achieved with PCI may be a better choice in particular clinical subset.
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