Author/Editor		Kranjec, Igor
Title		Strategija perkutanega revaskularizacijskega posega na koronarnih arterijah
Translated title		The strategy of percutaneous coronary revascularization
Type		članek
Source		Med Razgl
Vol. and No.		Letnik 38, št. Suppl 3
Publication year		1999
Volume		str. 98-105
Language		slo
Abstract		Percutaneous coronary interventions are extremely useful symptomatic treatment of obstructive coronary disease. Strategic approach to these interventions depends on latest developments in revascularization devices as well as operato's experiences: a substantial proportion of interventions are performed immediately after diagnostic procedures. Aggressive coronary dilatation with stenting in case of suboptimal result, called as "provisional stenting", is used in most catheterization, laboratories. The safety of percutanous interventions has increased as a consequence of effective bail-out procedures (stents, inhibitors of platelet glycoprotein receptors IIb/IIIa). The need for urgen coronary artery bypass grafting has steadily declined.
Summary		Perkutana koronarna revaskularizacija postaja vse pogostejše simptomatsko zdravljenje bolnikov z obstruktivno koronarno aterosklerozo. Strateški pristopi k tovrstnemu zdravljenju se spreminjajo z novostmi v instrumentariju in z izkušnjami operaterjev, posegi so vse varnejši in se jih v veliki meri opravlja neposredno po diagnostični preiskavi. V številnih kateterizacijskih laboratorijih se največ uporablja metoda agresivne dilatacije s stentiranjem v primeru nezadovoljivega rezultata ("provizorično stentiranje"). Možnost stentiranja in uporabe zaviralcev trombocitnih glikoproteinskih receptorjev IIb/IIIa je v primeru zapletov zmanjšala potrebo po urgenih kirurških posegih.
Descriptors		CORONARY ARTERIOSCLEROSIS STENTS ANGIOPLASTY, TRANSLUMINAL, PERCUTANEOUS CORONARY SLOVENIA