Chinese Guideline for Percutaneous Coronary Intervention in Patients with Left Main Bifurcation Disease
Chinese Guideline for Percutaneous Coronary Intervention in Patients with Left Main Bifurcation Disease作者机构：不详 Nanjing First Hospital General Hospital of Northern Theater Command
出 版 物：《Cardiology Discovery》 (心血管病探索（英文）)
年 卷 期：2022年第2卷第3期
页 面：134-144页
学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学]
主 题：Coronary artery disease Left main bifurcation lesions Percutaneous coronary intervention Guideline
摘 要：The coronary left main(LM)artery is characterized by large caliber,length varying from15 mm,and 2 large daughter vessels branching from it;it supplies blood to a large area(75%)of the *** bifurcation lesion is defined as the presence of atherosclerosis involving either or both of the 2 daughter ***,the optimal strategy of revascularization for diseased LM has been an interesting research topic for a long *** developments in percutaneous techniques,design,and materials of drug-eluting stents;intravascular imaging;new generation of antiplatelet medications;and particularly recent pooled evidence from randomized clinical trials comparing percutaneous coronary intervention with coronary artery bypass grafting,implantation of a drug-eluting stenting with or without other approved techniques is considered an important therapeutic approach for LM bifurcation *** the anatomical complexity of the LM,stenting LM bifurcations is technically demanding,and intraprocedural complications can be catastrophic given the large amount of jeopardized ***,the Chinese Society of Cardiology designed a writing committee with members from 3 working groups(ie,clinical research,intravascular imaging and physiology,and interventional cardiology)for the first time,to write a guideline on percutaneous treatment for LM bifurcation lesions,with view to improve the procedural quality and clinical *** guideline consists of introduction,anatomical description of the LM tree,risk stratification,strategies of revascularization,antiplatelet strategy,follow-up,and long-term management for patients with LM bifurcation lesions.
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