廉哲勋左主干 课件.ppt

左主干病变介入治疗的策略、技巧及器械选择;内 容;左主干（LM)病变的概念;LM病变的分类;;;左主干病变介入治疗的适应症和禁忌症;有保护左主干病变;无保护左主干病变;;;;;;;;对无保护左主干（UPLM） 病变治疗的临床策略;对UPLM病变治疗的临床策略;对UPLM病变治疗的临床策略;对UPLM病变治疗的临床策略;对UPLM病变治疗的临床策略;对UPLM病变治疗的临床策略;左主干病变介入治疗的技巧 及器械选择; High degree of elastic recoil – stent High restenosis rate – drug eluting stent Inability to engage the guide and maintain position Various take-off angles from the aorta - conventional fluoro images makes precise placement difficult – special techniques Stenting: - May fail to cover the ostium – restenosis - May have excessive hang-out – difficult re-cannulation ;LM开口部病变（IIa适应症）;LM开口部病变（IIa适应症）;LM开口部病变（IIa适应症）;;LM体部病变（IIa适应症）;LM远端分叉病变（IIb适应症）--病变特点--;LM远端分叉病变（IIb适应症）--策略选择的依据--;LM远端分叉病变（IIb适应症）;LM远端分叉病变（IIb适应症）--支架技术--;LM远端分叉病变（IIb适应症）--支架技术--;Main vessel;“V” or Simultaneous Kissing Stenting--V型支架或对吻支架--;术前、术后处理;总 结;谢 谢！