期刊文献+

A comparative study of coronary angiography and optical coherence tomography findings in coronary artery disease patients with moderate stenosis

A comparative study of coronary angiography and optical coherence tomography findings in coronary artery disease patients with moderate stenosis
下载PDF
导出
摘要 Objective To compare coronary angiography(CAG) and optical coherence tomography(OCT) findings in stenosis and culprit lesion morphology assessment in coronary artery disease patients with moderate stenosis(50%~70%).Methods 23 CAD patients with moderate stenosis(50%~70%) were enrolled in the study.These patients then underwent OCT analysis.CAG and OCT stenosis results were compared for conformity.OCT images of the culprit lesions were analyzed for more details about the morphological characteristics of the plaques in relation with the clinical diagnosis.Results Evaluation of stenosis of coronary lesions by Quantitative Coronary Angiography(QCA) corresponds approximately with OCT analysis estimation:CAG stenosis was 57.26% ±5.05,whereas the same OCT stenosis analysis reached a value of 61.17%±11.36,(P=0.032).From OCT image analysis,the vulnerable plaque was detected more in the culprit lesions of patients with a clinical diagnosis of unstable angina,than in stable angina pectoris patients(61.5%vs10%;P=0.012). Objective To compare coronary angiography(CAG) and optical coherence tomography(OCT) findings in stenosis and culprit lesion morphology assessment in coronary artery disease patients with moderate stenosis(50%~70%).Methods 23 CAD patients with moderate stenosis(50%~70%) were enrolled in the study.These patients then underwent OCT analysis.CAG and OCT stenosis results were compared for conformity.OCT images of the culprit lesions were analyzed for more details about the morphological characteristics of the plaques in relation with the clinical diagnosis.Results Evaluation of stenosis of coronary lesions by Quantitative Coronary Angiography(QCA) corresponds approximately with OCT analysis estimation:CAG stenosis was 57.26% ±5.05,whereas the same OCT stenosis analysis reached a value of 61.17%±11.36,(P=0.032).From OCT image analysis,the vulnerable plaque was detected more in the culprit lesions of patients with a clinical diagnosis of unstable angina,than in stable angina pectoris patients(61.5%vs10%;P=0.012).
出处 《外科研究与新技术》 2010年第3期228-234,共7页 Surgical Research and New Technique
关键词 optical coherence tomography CORONARY ANGIOGRAPHY CORONARY artery disease atherosclerosis MODERATE STENOSIS VULNERABLE PLAQUE optical coherence tomography coronary angiography coronary artery disease atherosclerosis moderate stenosis vulnerable plaque
  • 相关文献

参考文献31

  • 1S. E. Nissen,J. C. Gurley.Application of intravascular ultrasound for detection and quantitation of coronary atherosclerosis[J]. The International Journal of Cardiac Imaging . 1991 (3-4)
  • 2Kolodgie FD,Burke AP,Farb A,et al.Pathological as. sessments of the vulnerable human coronary plaque. Heart . 2004
  • 3Kume T,Akasaka T,Kawamoto T,et al.Assessment of coronary arterial plaque by optical coherence tomo. graphy. Journal of the American College of Cardiology . 2006
  • 4Attilio Maseri,MD,Valentin Fuster,MD,PhD.Cardio thoracic and Vascular Department,University Vita.Sa. lute San Raffaele,Milan,Italy,and Mount Sinai School of Medicine,New York. Circulation . 2003
  • 5QIAN Ju-ying.Detection of vulnerable plaques rather than the culprit lesions in patients with acute coronary syndrome using virtual histology intravascular ultrasound imaging[J].Chinese Medical Journal,2009(6):610-611. 被引量:3
  • 6Hangartner,JRW,Charleston,AJ,Davies,MJ,Thomas,AC.Morphological characteristics of clinically significant coronary artery stenosis in stable angina. British Heart Journal . 1986
  • 7Falk E;Shah PK;Fuster V.Coronary plaque disruption,1995.
  • 8Fuster V,Lewis A.Mechanisms leading to myocardial infarction: insights from studies of vascular biology. Circulation . 1994
  • 9Burke A P,Farb A,Malcom G T,et al.Coronary risk factors and plaque morphology in men with coronary disease who died suddenly. The New England Journal of Medicine . 1997
  • 10Virmani R,Burke AP,Farb A,et al.Pathology of the unstable plaque. Progress in Cardiology . 2002

二级参考文献1

共引文献9

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部