林立,丁耀东,张阳,叶一,韩嘉毅,曾勇

• 1:首都医科大学附属北京安贞医院冠心病中心

摘要(Abstract)：

冠心病是临床中常见的心血管疾病之一，我国冠心病人群的发病率仍呈现逐年上升趋势，增加了家庭与社会的负担。其中，冠状动脉钙化病变是所有冠状动脉介入医师所面临的挑战。本文报道了1例右冠状动脉严重狭窄伴重度钙化的老年男性患者，介入治疗的术中给予冠状动脉斑块旋磨术联合震波球囊进行钙化病变预处理并成功置入支架，改善患者生活质量，为冠状动脉钙化病变介入治疗提供震波球囊应用经验的同时也发现了一些不足之处，供心血管介入医师参考。

关键词(KeyWords)： 冠心病;震波球囊;冠状动脉斑块旋磨术;冠状动脉介入

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 林立,丁耀东,张阳,叶一,韩嘉毅,曾勇

参考文献(References)：

• [1]中国心血管健康与疾病报告编写组.《中国心血管健康与疾病报告2022》概要[J].中国介入心脏病学杂志,2023,31(7):485-508.DOI:10.3969/j.issn.1004-8812.2023.07.002.
• [2] Fourrier JL,Bertrand ME,Auth DC,et al.Percutaneous coronary rotational angioplasty in humans:preliminary report[J].J Am Coll Cardiol,1989,14(5):1278-1282.DOI:10.1016/0735-1097(89)90428-2.
• [3]Sharma SK,Tomey MI,Teirstein PS,et al.North American expert review of rotational atherectomy[J].Circ Cardiovasc Interv,2019,12(5):e007448.DOI:10.1161/CIRCINTERVENTIONS.118.00744 8.
• [4]《冠状动脉钙化病变诊治中国专家共识》专家组.冠状动脉钙化病变诊治中国专家共识(2021版)[J].中国介入心脏病学杂志,2021,29(5):251-259.DOI:10.3969/j.issn.1004-8812.2021.05.002.
• [5] Sakakura K,Ito Y,Shibata Y,et al.,Clinical expert consensus document on rotational atherectomy from the Japanese association of cardiovascular intervention and therapeutics:update 2023[J].Cardiovasc Interv Ther,2023,38(2):141-162.DOI:10.1007/s12928-022-00906-7.
• [6]Forero MNT,Daemen J.The coronary intravascular lithotripsy system[J].Interv Cardiol,2019,14(3):174-181.DOI:10.15420/icr.2019.18.R1.
• [7]林立志,尹晓荣,崔璐,等.经皮冠状动脉腔内冲击波球囊导管成形术治疗冠状动脉钙化病变的安全性和有效性研究[J].中国介入心脏病学杂志,2023,31(11):855-861.DOI:10.3969/j.issn.1004-8812.2023.11.008.
• [8]Lawton JS,Tamis-Holland JE,Bangalore S,et al.2021 ACC/AHA/SCAI Guideline for coronary artery revascularization[J].J Am Coll Cardiol,2022,79(2):e21-e129.DOI:10.1016/j.jacc.2021.09.006.
• [9]Tanigawa J,Barlis P.Di Mario C.Heavily calcified coronary lesions preclude strut apposition despite high pressure balloon dilatation and rotational atherectomy:in-vivo demonstration with optical coherence tomography[J].Circ J,2008.72(1):157-160.DOI:10.1253/circj.72.157.
• [10]Wlodarczak A,Rola P,Barycki M,et al.Rota-lithotripsy:a combination of rotational atherectomy and intravascular lithotripsy(Shockwaves)as a novel strategy for a rotablationresistant lesion in a patient with ST-segment elevation myocardial infarction[J].Cardiol J,2021,28(6):993-994.DOI:10.5603/cj.2021.0144.
• [11]王伟民,霍勇,葛均波,等.经皮冠状动脉腔内冲击波球囊导管成形术临床应用中国专家建议[J].中国介入心脏病学杂志,2023,31(9):641-649.DOI:10.3969/j.issn.1004-8812.2023.09.001.