血管内超声对血栓病变的判断
刘健,王伟民
摘要(Abstract):
<正>易损斑块破裂及继发性血栓形成是大多数急性冠脉综合征(acute coronary syndrome,ACS)发生的主要病理生理学机制。研究显示,在急性心肌梗死发病8h以内,90%以上的罪犯血管内存在血栓,而且大多数是红色血栓或混合血栓,偶有白色血栓。但在不稳定性心绞痛的患者中,罪犯血管中的血栓主要为白色血栓[1]。
关键词(KeyWords):
基金项目(Foundation):
作者(Author): 刘健,王伟民
参考文献(References):
- [1]Davies MJ.Pathology of arterial thrombosis.Br Med Bull,1994,50:789-802.
- [2]Pandian NG,Kreis A,Brockway B.Detection of intraarterial thrombus by high frequency two-dimentional ultrasound imaging in vitro and vivo studies.Am J Cardiol,1990,65:1280-1283.
- [3]Siegel RJ,Ariani M,Fishbein MG,et al.Histopathological validation of angioscopy and intravascular ultrasound.Circulation,1991,84:109-117.
- [4]Mintz GS,Nissen SE,Anderson WD,et al.American College of Cardiology Clinical Expert Consensus Document on Standards for Acquisition,Measurement and Reporting of Intravascular Ultrasound Studies(IVUS).A report of the American College of Cardiology Task Force on Clinical Expert Consensus Documents developed in collaboration with the European Society of Cardiology endorsed by the Society of Cardiac Angiography and Intervention.Eur J Echocardiogr,2001,2:299-313.
- [5]Nasu K,Tsuchikane E,Katoh O,et al.Impact of intramural thrombus in coronary arteries on the accuracy of tissue characterization by in vivo intravascular ultrasound radiofrequency data analysis.Am J Cardiol,2008,101:1079-1083.
- [6]周玉杰.冠状动脉血管内超声的临床应用与实践.北京:人民卫生出版社,2008:44-46.
- [7]Chemarin-Alibelli MJ,Pieraqqi MT,Elbax M,et al.Identification of coronary thrombus after myocardial infarction by intracoronary ultrasound compared with histology of tissues sampled by atherectomy.Am J Cardiol,1996,77:344-349.
- [8]Jain A,Ramee SR,Mesa J,et al.Intracoronary thrombus:chronic urokinase infusion and evaluation with intravascular ultrasound.Cathet Cardiovasc Diagn,1992,26:212-214.