摘要
报告2例冠状动脉痉挛性心绞痛(VSA)患者冠状动脉造影(CAG)术中行血管内超声(IVUS)检查,2例VSA患者痉挛的右冠状动脉(RCA)均有3处临界病变,IVUS检查为无破裂的纤维斑块,斑块负荷在30%~72%,均采取支架植入处理,1年内随访无心绞痛发作。IVUS可以观察痉挛冠脉的斑块性质与负荷,并指导支架植入。
Two cases of vasospastic angina(VSA)patients with IVUS examination during coronary angiography(CAG)operation was reported,the spasm right coronary artery(RCA)of 2 VSA patients had 3 borderline lesions,IVUS examination showed no rupture of fibrous plaque,plaque load was 30%-72%.Patients were treated with stent implantation,and no angina pectoris occurred during follow-up within 1 year.IVUS can observe the plaque nature and load of spastic coronary artery and guide the implantation of stents.
作者
刘丹丹
张小兵
夏思良
LIU Dan-dan;ZHANG Xiao-bing;XIA Si-liang(Department of Cardiology,Affiliated Nanjing Jiangbei Hospital of Nantong University,Nanjing,Jiangsu 210048,China)
出处
《中国临床研究》
CAS
2021年第11期1532-1536,共5页
Chinese Journal of Clinical Research
基金
2018年中石化南化公司临床医学专项科研项目(ZX18001)。
关键词
心绞痛
冠状动脉痉挛
血管内超声
经皮冠状动脉介入治疗
Angina pectoris
Coronary artery spasm
Intravscular ultrasound imaging
Percutaneous coronary intervention