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冠状动脉左主干病变的介入治疗具有挑战性。现从冠状动脉左主干的解剖特点、冠状动脉左主干病变的病因形成、左主干病变的诊断、左主干病变的治疗、左主干病变支架术的适应证和禁忌证、器械选择、治疗策略等进行了详细的阐述。对于存在冠脉旁路移植术禁忌证、拒绝外科治疗或经严格选择的左心功能正常的无保护左主干病变的病人,冠脉支架置入术是一种较理想的治疗方法。
Interventional management of left main coronary artery disease is challenging. Now from the anatomical characteristics of the left main coronary artery, the formation of the left main coronary artery disease, the diagnosis of left main disease, the treatment of left main disease, left main shaft stenting indications and contraindications, equipment selection, treatment strategies A detailed explanation. Coronary stent placement is an ideal treatment for patients who have contraindications to coronary artery bypass grafting, who refuse surgical treatment, or who have undergone strict selection of left-sided normal left ventricular dysfunction.