摘要
药物洗脱球囊一经出现就备受关注,本文围绕药物洗脱球囊的发展历程、作用机制、临床效果等方面进行综述,文献来自近几年来发表的关于药物洗脱球囊的临床研究结果,涉及支架内再狭窄、小血管病变、分叉病变、弥漫性病变、急性心肌梗死等不同冠状动脉病变类型。结果显示,在支架内再狭窄、小血管病变、弥漫性病变的治疗领域中,药物洗脱球囊优于或不逊于药物支架,而在分叉病变和急性心肌梗死治疗领域中,药物洗脱球囊尚未达到与药物支架相当的临床疗效。药物洗脱球囊具有巨大的发展前景和空间,广泛应用于临床仍需要大量的研究证据。
Drug eluting balloon (DEB) has received much attention since it appeared. Recent researches about application of DEB involve stent restenosis, small vessel diseases, bifurcation lesion, diffuse lesion and infarct related vessels in acute myocardial infarction (AMI). It has been shown that DEB is superior or not inferior to drug eluting stent (DES) in treating stent restenosis, small vessel diseases and diffuse lesion, but not superior to DES in treating bifurcation lesion and infarct related vessels in AMI. In general, DEB shows a promising prospect, however more evidences are acquired for wide application. This article reviewed the mechanism, clinical effects and progresses of DEB.
出处
《中国医药》
2016年第2期290-292,共3页
China Medicine
关键词
冠状动脉疾病
药物洗脱球囊
介入治疗
Coronary artery disease
Drug eluting balloon
Coronary intervention treatment