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冠状动脉临界病变的有创评价和治疗 被引量:15

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摘要 冠状动脉(冠脉)临界病变是指冠脉造影目测狭窄程度介于50%~70%的病变,在冠脉造影及冠脉介入治疗中较为常见,其严重程度容易被低估或高估,合理的治疗仍然是心脏科医生的挑战。正确评估冠脉临界病变是规范化治疗的前提。血管内超声(IVUS)和血流储备分数(FFR),可分别对临界病变的解剖和功能进行评价,为判断冠脉临界病变的严重程度及选择治疗策略提供了重要参考依据。此外,病变的位置、病变血管的供血范围及患者的危险因素也是制定合理治疗策略的关键。因此,临界病变是介入治疗还是药物保守治疗需综合考虑。本文将对临界病变的有创评价和治疗做一综述,以期对临床实践予以指导。
出处 《中国循环杂志》 CSCD 北大核心 2012年第2期156-158,共3页 Chinese Circulation Journal
基金 首都医学发展科研基金资助项目(20051516)
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