Coronary collateral circulation: its relevance.
Catheter Cardiovasc Interv
; 82(6): 915-28, 2013 Nov 15.
Article
em En
| MEDLINE
| ID: mdl-23460449
ABSTRACT
The interest in coronary collateral circulation (CCC) as "natural bypasses" is growing, especially in patients in whom the extent of coronary atherosclerosis is too severe to allow for conventional revascularization. The anatomic foundation of CCC has been recognized for long time. Recently, reliable methods have become available for the assessment of the adequacy of collateral flow. However, the debate regarding the importance of CCC in the different clinical settings continues. In this article, we present the recent progress in the understanding of anatomy and physiology of the CCC and focus on the studies addressing their functional significance in acute, subacute, and chronic coronary artery disease. In addition, we provide a focused update on the essential role of collateral circulation in the management of coronary chronic total occlusions.
Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Circulação Colateral
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Circulação Coronária
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Vasos Coronários
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Oclusão Coronária
Tipo de estudo:
Diagnostic_studies
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Prognostic_studies
Limite:
Animals
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Humans
Idioma:
En
Ano de publicação:
2013
Tipo de documento:
Article