کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
9180801 | 1181930 | 2005 | 10 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Nuevas expectativas en la revascularización miocárdica quirúrgica
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کلمات کلیدی
CECRevascularización miocárdicaAmI - AMIangioplasty - آنژیوپلاستیAngioplastia - آنژیوپلاستیcoronary bypass graft surgery - جراحی پیوند عروق کرونرArteria mamaria interna - شریان پستان داخلیMyocardial revascularization - عروق کرونرVascular Endothelial Growth Factor (VEGF) - فاکتور رشد اندوتلیال عروقی (VEGF)Vascular Endothelium Growth Factor - فاکتور رشد اندوتلیوم عروقیCirculación extracorpórea - گردش خون Extracorporeal
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
کاردیولوژی و پزشکی قلب و عروق
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چکیده انگلیسی
Myocardial revascularization with coronary bypass graft surgery or angioplasty is the conventional treatment for ischaemic heart disease. The progressive refinement of both techniques (eg, use of arterial grafts and drug eluting stents) has improved clinical outcomes but the elucidation of which of the two treatments is more effective would require well designed randomised studies. While the utility of off-pump as compared to on-pump coronary bypass graft surgery is still debated, the evidence for the exclusive use of arterial conduits for surgical revascularization is compelling. Patients with diffuse coronary artery disease that cannot be treated by conventional revascularization treatments remain a challenge for the control of angina and a variety of alternative treatments, including transmyocardial laser revascularization and cardiac denervation, have been applied. However, these treatments do not eliminate angina and the benefit obtained is transient. The angiogenic therapy using stem cells and modification of gene expression is a new treatment which potential, in spite of the promising animal studies and the initial clinical trials, is still unclear. The introduction of less invasive surgical techniques and robotics could play an important role for the delivery of these treatments in the future.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Revista Española de CardiologÃa - Volume 58, Issue 12, December 2005, Pages 1459-1468
Journal: Revista Española de CardiologÃa - Volume 58, Issue 12, December 2005, Pages 1459-1468
نویسندگان
Manuel Galiñanes,