Prospect of the new century revascularization with coronary heart disease.docVIP

 PAGE \* MERGEFORMAT 12 Prospect of the new century revascularization with coronary heart disease Coronary heart disease is death, disability, one of the high cardiovascular disease, revascularization surgery is to relieve symptoms and improve the prognosis of the most effective way. Revascularization of the next century of clinical and basic research will focus around the following four fronts. A catheter-based revascularization Since the completion of 23 years ago Gruentzig first percutaneous transluminal coronary angioplasty (PTCA) has been the rapid development of this technology, coronary revascularization has become an important aspect of treatment. In mind, the surgical balanced development of the medical center, the treatment of coronary heart disease, implementation of CABG, interventional therapy and medication were about fifty-one / 3. In particular, has been widely used in coronary stents, PTCA of the efficacy and safety have been greatly improved, and widened the indications. Now PTCA, 70% of patients with implanted coronary stents. A number of serious complications, such as acute occlusion and so on, have been significantly reduced, greatly reducing the dependence on cardiac surgery. Compared with PTCA alone, stent implantation to make a repeat PTCA or CABG during the year reduced by 40%. However, stent restenosis is not completely solve the problem, but not every patient is suitable for implantation of stents, stent restenosis still occurs in some patients. Traditional treatment methods of mitigation and prevention of restenosis only partially effective. Radiation treatment on a number of other proliferative diseases, and have a good curative effect, this technology has been used for in-stent restenosis treatment. The results of several randomized clinical trials consistently show that radioactive stents can significantly reduce the restenosis rate, with conventional PTCA or stent implantation compared to the obvious advantage. Long WRIST st