冠脉旋磨术适应证的选择PPT课件.pptVIP

冠脉旋磨术适应证的选择 为什么要选择冠脉旋磨术？ 如何选择适应证？ 冠脉旋磨术中需要注意的几个问题 时代不同了 During past few years, scope of PCI has advanced greatly, including several subsets: Complex, calcified lesions Very elderly patients (10% JGM PCI pts 80yrs) Patients with extensive comorbidity (CRF etc) turned down for CABG that provide resurgent role for Rotablator in improving procedural outcome. In 2006, 55 RA of 462 total PCIs (11.9%) Is there contemporary evidence to support this practice? ROCCSTAR Trial Randomisation Of Calcified Coronary Stenoses to TAxus stenting with or without Rotational atherectomy 132 patients – at least