کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
8952302 1645856 2018 8 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Percutaneous coronary intervention
ترجمه فارسی عنوان
مداخله کرونری پوستی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پزشکی و دندانپزشکی (عمومی)
چکیده انگلیسی
Percutaneous coronary intervention (PCI) is the most common technique to improve myocardial perfusion when treating coronary artery disease. It is very efficacious in improving symptoms for patients with stable angina, and improves prognosis in acute coronary syndromes, particularly in the emergency treatment of patients presenting with ST elevation myocardial infarction. It is performed via a small intra-arterial sheath. A balloon is used to dilate the coronary stenosis, and a stent is implanted to scaffold the vessel. Re-narrowing at the treated site can occur but has been greatly reduced by drug-eluting stents. Most acute complications of PCI are mediated by platelet activation, so drugs blocking platelet aggregation are pivotal to the procedure's safety. Early complications include haemorrhage from the arterial access site (reduced by a radial approach). Abrupt vessel closure, stroke, vessel perforation and tamponade are rare. The requirement for emergency cardiac surgery is <0.1%, and in-hospital mortality is mainly determined by the indication for PCI - about 0.2% in patients with stable angina, 5% after ST elevation myocardial infarction and 30-50% in the context of cardiogenic shock. Technical advances mean that patients with complex coronary artery disease and co-morbid conditions can now be treated by PCI.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Medicine - Volume 46, Issue 9, September 2018, Pages 547-554
نویسندگان
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