| 廖庆林1 刘季东李鸾陈瑞王禹△.血管内超声在冠脉复杂病变介入诊疗中的临床价值[J].,2012,12(5):904-906 |
| 血管内超声在冠脉复杂病变介入诊疗中的临床价值 |
| The Clinical Value of Intravascular Ultrasound in Diagnosis and Therapyin Complex Coronary Artery Pathological Change |
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| DOI： |
| 中文关键词: 血管内超声 冠状动脉造影 冠脉复杂病变 |
| 英文关键词: Intravascular ultrasound Complex coronary artery pathological change Coronary angiography Percutaneous coronary
interventional therapy（PCI） |
| 基金项目: |
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| 中文摘要: |
| 目的：研究血管内超声在冠脉复杂病变介入诊疗中的临床价值。方法：30 例确诊为冠心病的患者，其中男性23 例，女性7
例，先采用冠脉造影（CAG）,
选择美国心脏病学会和美国心脏病协会（ACC/AHA）推荐的冠脉分型C 型中弥漫性病变（>20mm）、
近端血管过度扭曲病变，然后行IVUS 检查，PCI 术后再行IVUS 检查，比较两者及PCI 前后IVUS 结果的差异。结果：CAG 示支
架贴壁良好，再行IVUS 检查示支架贴壁不良率达78.4 %，IVUS 观察均达到支架置入理想标准。结论：IVUS 在评价支架贴壁情
况、选择高压球囊后扩张时，有着更明显的优势。 |
| 英文摘要: |
| Objective: To assess the clinical application value of intravascular ultrasound in the complex coronary artery
pathological change. Methods: A total of 30 CHD patients were recruited, complex coronary artery pathological change included in type
3 recommended by ACC/AHA were examined by CAG and IVUS. Minimal lumen area diameter and plaque burden at minimum area
were detected and analyzed. Result: The results of before PCI and after PCI derived from IVUS were compared. IVUS could find stent
underexpension. Conclusion: IVUS could guide the interventional therapy for complex coronary artery pathological change more
efficiently. Post-dilation with high pressure guided by IVUS can reduce the early rate of stent underexpension and attain a larger final
stent CSA. |
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