Tom 15, Nr 1 (2018)
Choroba wieńcowa
Opublikowany online: 2018-05-25
Wyświetlenia strony
622
Wyświetlenia/pobrania artykułu
1321
Aterektomia rotacyjna — renesans metody
Choroby Serca i Naczyń 2018;15(1):29-35.
Streszczenie
Postępy w diagnostyce i leczeniu chorób układu sercowo-naczyniowego sprawiają, że pod opieką kardiologów znajdują się coraz starsi chorzy. Z wiekiem wzrasta także stopień uwapnienia tętnic wieńcowych. Uwapnione zmiany są najczęstszą przyczyną niepowodzeń zabiegów angioplastyki wieńcowej. Rewaskularyzacja pacjentów z uwapnionymi zmianami tętnic wieńcowych często stanowi wyzwanie dla kardiologa. Alternatywną metodą, która stanowi szansę na powodzenie zabiegu u takich chorych, jest aterektomia rotacyjna (RA), technika ta pozwala na modyfikację blaszki miażdżycowej i wprowadzenie stentu. Chociaż RA nie zaleca się jako rutynowej procedury przed implantacją stentu, to w wielu przypadkach umożliwia poprawę rokowania i jakości życia. W ostatnich latach rola rotablacji się zwiększa, dlatego w niniejszej pracy zaprezentowano aktualny stan wiedzy dotyczący tej metody.
Słowa kluczowe: aterektomia rotacyjnachoroba wieńcowazwapnienia
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