LEFT MAIN CORONARY-ARTERY DISEASE - ASSESSMENT, DIAGNOSIS, AND THERAPY
LEFT MAIN CORONARY-ARTERY DISEASE - ASSESSMENT, DIAGNOSIS, AND THERAPY
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DOI：
10.1016/0002-8703(95)90018-7
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发表时间：
1995-02-01
影响因子：
4.8
通讯作者：
TOMMASO, CL
中科院分区：
文献类型：
--
作者：
BERGELSON, BA;TOMMASO, CL
本文回顾和更新了目前有关涉及LMCA的冠状动脉疾病的评估、诊断和治疗的文献。包括有关LMCA的自然病史、先天性异常、非侵入性诊断研究以及冠状动脉搭桥术和经皮冠状动脉介入治疗的作用的最新信息。目前，LMCA仍然是一个很难进行血管造影评估的节段。非侵入性成像的使用并不能明确区分LMCA和其他类型的冠状动脉疾病。冠状动脉搭桥术在治疗LMCA疾病方面已被证实是有益的。目前，介入治疗受到重大风险的限制，冠状动脉搭桥术的外科治疗仍然是首选的治疗方法。
This article reviews and updates the current literature concerning the assessment, diagnosis, and therapy of coronary disease involving the LMCA. Included is recent information regarding the natural history, congenital abnormalities, noninvasive diagnostic studies, and role of coronary bypass surgery and percutaneous coronary interventions in treating disease of the LMCA. At present, it remains that the LMCA is a difficult segment to assess angiographically. The use of noninvasive imaging does not specifically distinguish LMCA from other types of coronary disease. Coronary bypass surgery has a proven benefit in the treatment of disease of the LMCA. Currently, interventional procedures are limited by significant risks, and surgical treatment with coronary bypass surgery remains the therapy of choice.