期刊文献+

血管内超声在无保护左主干病变介入诊疗中的临床应用 被引量:3

Clinical Application of Intravascular Ultrasound in the Interventional Treatment of Unprotected Left Main Coronary Artery Lesion
下载PDF
导出
摘要 冠状动脉造影(CAG)一直被认为是诊断冠状动脉粥样硬化性心脏病的"金标准",但它只能反映血管腔被造影剂充填后的轮廓,不能真实反映血管腔的狭窄程度,尤其是对于左主干病变患者,CAG检查的结果与冠状动脉病变的实际情况差异更大,无法准确地反映左主干病变严重程度。血管内超声可以弥补CAG的不足,可以精确地反映左主干病变的程度、范围、性质以及参考血管的直径情况,有利于病情的充分评估及支架选择、支架释放应用。 Coronary angiography( CAG) has always been considered in the diagnosis of coronary heart disease of the " gold standard",though it can only reflect the outline of a vessel after filling with contrast agents,but not the narrowness severity of the vascular cavity. Especially for patients with left main lesion,CAG examination results and the actual situation of coronary artery lesions often differs greatly,and it cannot accurately reflect the severity of the left main lesion. Intravascular ultrasound can make up for the deficiency of CAG,since it can fully assess the severity,scope,nature and vascular diameter,which is helpful for adequate assessment of the condition,stent selection,and stents release applications.
出处 《医学综述》 2015年第4期683-685,共3页 Medical Recapitulate
关键词 无保护左主干病变 经皮冠状动脉介入治疗 血管内超声 Unprotected left main coronary artery lesion Percutaneous coronary intervention Intravascular ultrasound
  • 相关文献

参考文献18

  • 1Mintz GS, Nissen SE, Anderson WD, et al. American College of Cardiology Clinical Expert Consensus Document on Standards for Acquisition, Measurement and Reporting of Intravascular Ultra- sound Studies (IVUS). A report of the American CoUege of Cardi- ology Task Force on Clinical Expert Consensus Documents [ J ]. J Am Coll Cardiol, 2001,37 ( 5 ) : 1478 -1492.
  • 2Ricciar MJ,-Meyers S,Choi K,et al. Angiographically silent left main disease detected by intravaseular ultrasound: a marker for future adverse cardiac events[J]. Am Heart J,2003,146(3) :507-512.
  • 3Levine GN, Bates ER, Blankenship JC, et al. 2011 ACCF/AHA/ SCAI Guideline for Percutaneous Coronary InterventionA Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines and the Society;for Cardiovascular Angiography and Interventions[ J]. J Am Coll Car- diol,2011,58(24) :e44-122.
  • 4MeDaniel M, Samady H. Use of coronary physiology in the catheter- ization laboratory to guide treatment in patients with coronary artery disease[J]. Curr Treat Options Cardiovasc Med, 2011,13 ( 1 ) : 35 -45.
  • 5Fuehs S, Lavi I, Tzang O, et al. Necrotic core and thin cap fibrous atheroma distribution in native coronary artery lesion-containing segrnents:a virtual histology intravascular ultrasound study [J ]. Coron Artery Dis,2011,22 (5) : 339-344.
  • 6Tavora FR, Ripple M, Li L, et al. Monocytes and neutrophils expressing myeloperoxidase occur in fibrous caps and thrombi inunstable coronary plaques [ J ]. BMC Cardiovasc Disord, 2009,9 (1) :27.
  • 7冯瑞,雷家俨,黄玮.冠状动脉血管内超声优化临界病变易损斑块诊治的研究[J].第三军医大学学报,2013,35(6):565-568. 被引量:12
  • 8Conti CR, Finding the vulnerable plaque [ j]. Clin Cardiol,2010, 33 (6) :320-321.
  • 9康维强,王旭,王晏平,荣媛媛.复杂冠状动脉病变的血管内超声应用策略[J].中华临床医师杂志(电子版),2012,6(14):3854-3857. 被引量:6
  • 10Maehara A,Mintz GS,Stone GW. OCT versus IVUS:accuracy ver- sus clinical utility [ J ]. JACC Cardiovasc Imaging, 2013,6 ( 10 ) : 1105-1107.

二级参考文献31

  • 1Das P, Meredith I. Role of intravascular ultrasound in unprotected left main percutaneous coronary intervention. Expert Rev Cardiovasc Ther,2007,5:81-89.
  • 2Nissen SE, Yock P. Intravascular ultrasound. Novel pathophysiological insights and current clinical implications. Circulation,2001,103 : 604-616.
  • 3Fitzgerald PJ, Oshima A , Hayase M, et al. Final results of the can nustine ultrasound influence stent expansion (CRUISE) study. Circutation ,2000,102:523-530.
  • 4Albiero R, Rau T, Schluter M, et al. Comparison of immediate and intermediate-term results of intravascular ultrasound versus angiography- guided palmaz-schatz stent implantation in matched lesions. Circulation, 1997,96:2997-3005.
  • 5REStenosis after IVUS-guided STenting(RESIST) study group. Impact of intravascular ultrasound guidance in stent deployment on 6 month restenosis rate:A multicenter,randomized study comparing two strategies with and without intravascular ultrasound guidance. J Am Coll Cardiol, 1998,32 : 320 -328.
  • 6Russo RJ,Attubato M J, Davidson CJ,et al. Angiography versus intravascular ultrasound-directed stent placement: Final results from AVID. Circulation, 1999,100( Suppl I) : 1234.
  • 7Mudra H,di Mario C, de Jaegere P, et al. Randomized comparison of coronary stent implantation under ultrasound or angiographic guidance to reduce stent restenosis ( OPTICUS study). Circulation, 2001,104 : 1343-1349.
  • 8Oemrawsingh PV, Mintz GS, Schalij MJ, et al. Intravascular ultrasound guidance improves angiographic and clinical outcome of stent implan- tation for long coronary artery stenoses:final results of a randomized comparison with angiographic guidance ( TULIP study). Circulation, 2003,107:62-67.
  • 9Kim JS, Hong MK, Ko YG, et al. Impact of intravascular ultrasound guidance on long-term clinical outcomes in patients treated with drug- eluting stent for bifurcation lesions : data from a korean multicenter bifurcation registry. Am Heart J,2011,161 ( 1 ) : 180-187.
  • 10Kim SH, Kim YH, Kang SJ, et al. Long-term outcomes of intravascular ultrasound-guided stenting in coronary bifurcation lesions. Am J Cardiol,2010,106 ( 5 ) :612-618.

共引文献50

同被引文献28

引证文献3

二级引证文献11

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