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冠状动脉血流储备分数对经皮冠脉介入策略的指导作用 被引量：3

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摘要 随着经皮冠状动脉介入术（PCI）在临床上的广泛应用，冠状动脉造影（CAG）越来越多地用于诊断冠脉病变和指导治疗，造影所示的冠状动脉狭窄的严重程度是决定是否进行血运重建的主要标准。然而，CAG通常只能用来评价冠状动脉是否有狭窄及狭窄程度，对于该狭窄是否影响到或者影响到多少血管储备功能，却没有具体数据指导，这使得CAG不能很好地解决血管中等程度狭窄是否需要植入支架，以及对于一条有多处轻中度狭窄的血管是否需要每处都植入支架等问题。因此，冠状动脉病变的功能性评价越来越受到人们的重视。
作者 梁健球 许顶立
机构地区 南方医科大学南方医院心血管内科 广东省佛山市第二人民医院心内科
出处 《实用医学杂志》 CAS 北大核心 2011年第23期4327-4329,共3页 The Journal of Practical Medicine
关键词 经皮冠状动脉介入术 经皮冠脉介入 血流储备分数 冠状动脉狭窄 冠状动脉造影 冠状动脉病变 功能性评价 指导治疗
分类号 R541.4 [医药卫生—心血管疾病]
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参考文献16

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同被引文献30

  • 1朱永胜,张军,George Athanassopoulos,周晓东,钱蕴秋,George Karadasakis,朱霆.经胸彩色多普勒检测冠心病患者冠状动脉左前降支和右冠状动脉远端血流储备[J].中华心血管病杂志,2005,33(9):801-805. 被引量：4
  • 2中华医学会心血管病学分会介入心脏病学组,中华心血管病杂志编辑委员会.中国经皮冠状动脉介入治疗指南2012(简本)[J].中华心血管病杂志,2012,40(4):271-277.
  • 3Mouren S, Vicaut E, Lamhaut L, et al. Crystalloid versus red blood cell -containing medium in the Langendorff- perfusod isolated heart preparation [ J ]. European journal of anaesthesiology, 2010,27 ( 9 ) : 780 - 787.
  • 4Hjortshoj S, Dethlefsen C, Kristensen SR, et al. Determinants of the release pattern of ischaemia - modified albumin in acutv ST - eleva- tion myocardial infarction treated with primary PCI[J]. The Scandi- navian Journal of Clinical and Laboratory Investigation,2010,70 (4) : 244 -251.
  • 5Patil CV, Beyar R. Intermediate coronary artery stenosis: Evi-dence-based decisions in interventions to avoid the oculostenotic reflex. Int J Cardiovasc Intervent, 2000,3(4) :195-206.
  • 6Ben-Dor I, Torguson R, Deksissa T, et al. Intravascular ultra- sound lumen area parameters for assessment of physiological is- chemia by fractional flow reserve in intermediate coronary artery stenosis. Cardiovasc Revasc Med, 2012,13(3):177-182.
  • 7Hodgson JM. If you want to stent.., do intravaseular ultrasound! JACC Cardiovasc Interv, 2010,3 (8) : 818-820.
  • 8Koo BK, Yang HM, Doh JH, et al. Optimal intravaseular ultra- sound criteria and their accuracy for defining the functional signifi- cance of intermediate coronary stenoses of different locations. JACC Cardiovase Interv, 2011,4(7) : 803-811.
  • 9Pijls NH, Van Gelder B, Van der Voort P, et al. Fractional flow reserve. A useful index to evaluate the influence of an epieardial coronary stenosis on myocardial blood flow. Circulation, 1995, 92 (11):3183-3193.
  • 10Trana C, Muller O. Eeekhout E, Coronary atter Yiag-nostic with fractional flow. reserve. Rev Med suisse, 201l, 7 (297) : 1182-1188.

引证文献3

二级引证文献14

实用医学杂志
2011年 第23期

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