Contemporary stent treatment of coronary bifurcations
Contemporary stent treatment of coronary bifurcations
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DOI：
10.1016/j.jacc.2005.05.080
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发表时间：
2005-10-18
影响因子：
24
通讯作者：
Colombo, A
中科院分区：
文献类型：
--
作者：
Iakovou, I;Ge, L;Colombo, A
冠状动脉分叉病变的治疗是介入心脏病学的一个具有挑战性的领域。药物洗脱支架(DES)的引入减少了主干(MB)的再狭窄。然而，侧支开口(SB)的再狭窄仍然是一个问题。虽然使用临时SB支架植入MB似乎是主流方法，但在DES时代，各种双支架技术出现(挤压)或重新引入(V或同时亲吻支架、挤压、T、短裤、Y、裙子)，以便在需要时在SB内放置支架。这篇综述详细描述了通过意向治疗植入两个支架的各种技术。
Treatment of coronary bifurcation lesions represents a challenging area in interventional cardiology. The introduction of drug-eluting stents (DES) reduced restenosis in the main branch (MB). However, restenosis at the ostium of the side branch (SB) remains a problem. Although stenting the MB with provisional SB stenting seems to be the prevailing approach, in the era of DES various two-stent techniques emerged (crush) or were re-introduced (V or simultaneous kissing stents, crush, T, culottes, Y, skirt) to allow stenting in the SB when needed. This review describes in detail various techniques used for implantation of two stents by intention to treat.