设为首页         

资讯内容 Content

[ACC2012]直接PCI有利于患者长期获益——Dr Sameer Mehta专访
国际循环网版权所有,谢绝任何形式转载,侵犯版权者必予法律追究。

作者:SameerMehta 编辑:国际循环网 时间:2012/3/27 15:26:24    加入收藏
 关键字:Sameer Mehta  直接PCI 

  <International Circulation>:   You have said that in many STEMIs, the rule is that you go for the culprit lesion; you don’t concentrate on any other occlusions. Does that apply also in shock cases?

  《国际循环》:您说过对很多STEMI的患者,您的原则是主要处理罪犯血管,您并不太关注除罪犯血管外其他的血管闭塞。这个原则是否也同样适用于休克病例呢?

  Dr Mehta:  In patients having an acute MI which is complicated by cardiogenic shock, you probably need to recanalize a much larger distribution of ischemic territory. Cardiogenic shock is one of those rare exceptions in STEMI intervention where you go only for the culprit lesion and there is a fair amount of data that demonstrates that. In some of these cases you can also proceed to taking care of non-culprit vessels after the culprit vessel has been addressed. The first effort has to be on the culprit and then the non-culprit if they are located in areas proximal to large vessels. The patient with a STEMI intervention gets only sicker lying on the table and it should not be lesions that are technically very difficult that will consume a lot of dye, radio contrast agent or time. On the other hand if it is something relatively straight-forward in a large segment of a vessel, if you are able to reanalyze that in addition to the culprit lesion, the patient generally will have a better outcome where they are in cardiogenic shock.

  



上一页  [1]  [2]  [3]  [4]  

 
京ICP备15014970号-5   国际循环 版权所有  2008-2022 icirculation.com  All Rights Reserved