Small vessel coronary artery disease: How small can we go with myocardial revascularization?

被引:15
作者
Wybraniec, Maciej T. [1 ,2 ]
Banka, Pawel [1 ,2 ]
Bochenek, Tomasz [1 ,2 ]
Roleder, Tomasz [3 ]
Mizia-Stec, Katarzyna [1 ,2 ]
机构
[1] Med Univ Silesia, Sch Med Katowice, Dept Cardiol 1, Ul Ziolowa 47, PL-40635 Katowice, Poland
[2] Upper Silesia Med Ctr, Katowice, Poland
[3] Reg Specialist Hosp, Ctr Res & Dev, Wroclaw, Poland
关键词
small coronary artery disease; small coronary vessel; small vessel disease; drug-coated balloons; drug-eluting stents; DRUG-ELUTING STENTS; PACLITAXEL-COATED BALLOON; FRACTIONAL FLOW RESERVE; DE-NOVO LESIONS; BIORESORBABLE SCAFFOLDS; PERCUTANEOUS TREATMENT; RANDOMIZED-TRIAL; BARE-METAL; LEFT MAIN; RESTENOSIS;
D O I
10.5603/CJ.a2020.0127
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The issue of small coronary artery atherosclerosis represents an intriguing aspect of coronary artery disease, which is related with higher rates of peri- and post-procedural complications and impaired long-term outcome. This problem is further complicated by the unclear definition of small coronary vessel. Recent randomized controlled trials have provided new data on possible novel interventional treatment of small coronary vessels with drug-coated balloons instead of traditional new-generation drug-eluting stent implantation. Also, the conservative management represents a therapeutic option in light of the results of the recent ISCHEMIA trial. The current article provides an overview of the most appropriate definition, interventional management, and prognosis of small coronary artery atherosclerosis.
引用
收藏
页码:767 / 778
页数:12
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