摘要
腔内影像学作为三维成像,较二维的冠状动脉造影更能准确地反映血管腔内结构及识别病变斑块的性质,因此有助于介入术前支架或球囊类型和置入部位的选择,指导不同类型病变合理的预处理方式,并证实可以优化左主干及慢性完全性闭塞病变介入治疗的策略,最终减少并发症及不良事件的发生。本综述从国内外循证医学证据和指南的角度,介绍了冠脉介入治疗腔内影像学研究在优化经皮冠状动脉介入治疗中的最新进展。
As a three-dimensional imaging,intracavitary imaging can not only more accurately display the structure of the vascular lumen but also more precisely identify the nature of the lesion plaque when compared with two-dimensional imaging of coronary angiography.Therefore,three-dimensional imaging is very helpful in selecting the proper type of stent or balloon as well as in determining the suitable implantation site before percutaneous coronary intervention(PCI)treatment.It can also be used to guide the rational pretreatment for dfferent types of lesions,to optimize the interventional treatment strategy for the left main coronary artery occlusion and chronic complete occlusive lesions of coronary arteries,and to reduce the occurrence of complications and adverse events.This review,from the perspective of evidence-based medical evidences and guidelines at home and abroad,presents the latest advances in the intraluminal imaging researches of PCI for the optimization of PCI strategies.
作者
王玲
金晓雪
刘德敏
崔炜
WANG Lin;JIN Xiaoxue;LIU Demin;CUI Wei(Department of Cardiology,Second Hospital of Hebei Medical University,Shijiazhuang,Hebei Province 050000,China)
出处
《介入放射学杂志》
CSCD
北大核心
2023年第8期816-820,共5页
Journal of Interventional Radiology
基金
国家自然科学基金(82100301)
河北省自然科学基金精准医学联合基金培育项目(H2021206220)
河北省医学科学重点科技研究计划(20220989)。
关键词
冠心病
经皮冠状动脉介入治疗
血管内超声
光学相干断层成像
coronary heart disease
percutaneous coronary intervention
intravascular ultrasound
optical coherence tomography
