Left main coronary artery disease and therapy

Temel Bulgular & Veri:Korun- mamış sol ana koroner arter darlığı tedavisinde internal mammarian arter ile koroner arter bypass yapılması altın standart olmasına rağmen perkütan koroner girişim de yapılabilmektedir.

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Sonuç & Katkı:İlaç kaplı stentlerrestenoz ve mortalite açısında uzun dönem sonuçları çıplak metal stentlerde daha üstün bulunmuştur.

🔬Tür:Araştırma Makalesi

📍Kapsam:Genişletilmiş Akademik Örneklem

⚙️Değişkenler:Alan Parametreleri

Özet

Sol ana koroner arterde %50 ve üzerinde darlık olması anlamlı darlık olarak tanımlanır. Korun- mamış sol ana koroner arter darlığı tedavisinde internal mammarian arter ile koroner arter bypass yapılması altın standart olmasına rağmen perkütan koroner girişim de yapılabilmektedir. Korunmamış Sol ana koroner arter darlıklarına yapılan balon anjiyoplastide uzun dönem prognoz kötüdür ve mortalite artmaktadır. Seçili vakalarda anjiyoplasti ve stent güvenle uygulanabilir. İlaç kaplı stentlerrestenoz ve mortalite açısında uzun dönem sonuçları çıplak metal stentlerde daha üstün bulunmuştur.

Abstract

Significant left main coronary artery disease is defined as > 50% narrowing of left main coronary artery. Although, coronary artery bypass grafting using internal mammarian artery grafting is the gold standard for treatment of unprotected left main disease percutaneous coronary intervention is also possible. Balloon angioplasty of the unprotected left main coronary artery stenosis has been associated with elevated procedural mortality and with a poor long-term prognosis.However, angioplasty with stent implantation is a safe procedure in selected patients. Compared to bare metal stents, interventions with drug eluting stents had more favorable outcomes in regard to restenosis and mortality.

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Bu Makaleye Atıf Yap

BATRYALIEV, T., FETTSER, D., GÜNEŞ, Y., GÜNTEKİN, Ü., TUNCER, M. (2022). Left main coronary artery disease and therapy. Türk Girişimsel Kardiyoloji Derg., Cilt: 13 - Sayı: 1, 40–44. https://ajindex.com/articles/624454

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Kaynakça (12)

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