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[ESC2009]药物洗脱支架新进展:ACC副主席D Holmes教授专访

作者:国际循环网   日期:2009/9/1 11:56:00

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您在本届ESC上做了《Which recommendations can we give in 2009?》的发言,请您谈谈关于药物洗脱支架的应用有哪些新的建议?对于药物洗脱支架的晚期血栓问题一直是困扰介入医生的一个难题,自2006年至今对于此问题是否有新的研究进展?您对药物洗脱支架用于小血管和重度钙化病变有何建议?药物洗脱支架用于糖尿病患者需要注意哪些问题?药物洗脱支架置入后可能会导致内皮功能障碍,请谈谈您就此方面的观点。

 

International Circulation:  What issues then do we need to confront in the application of drug-eluting stents in diabetics?

David Holmes: In diabetics we have the issue as it relates to what metric we evaluate.  For re-stenosis in diabetics, clearly drug-eluting stents are better than bare metal stents.  The question is any revascularization better in diabetic patients remains unclear and unsettled from the BARI 2D study, which is a different topic.  We know that in diabetic patients we know, firstly, that we need to treat ischemia.  Secondly that we need to select, depending on the severity of disease and the extent and severity of ischemia, which revascularization strategy is most appropriate.  If it is going to be a PCI revascularization I believe drug-eluting stents are at the foundation of that but underneath both surgical and interventional revascularization is the urgent need to make sure we optimize optimal medical therapy. 

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David R. Holmes晚期血栓药物洗脱支架内皮功能障碍

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