光学相干断层成像在冠状动脉分叉病变中的应用
高睿,于波
摘要(Abstract):
<正>冠状动脉分叉病变15%~20%的患者行经皮冠状动脉介入治疗(percutaneous coronary intervention,PCI),然而其治疗效果仍然堪忧[1]。冠状动脉造影(coronary angiography,CAG)能提供关于分叉病变处解剖变化、斑块位置和支架位置等信息,但对于复杂病变行PCI,血管内超声(intravascular ultrasound,IVUS)优于CAG。IVUS证实左冠状动脉分成两个不对称的分支(即左前降支和左回旋支),管腔直径越来越小,近端主血管与其两个(或多个)远端分支直径的关系为:近端主血管=(远端主血管+侧分支)×0.67[2]。欧洲分叉俱乐部将分叉病变定义为发生在邻近和(或)涉及重要分支起源的冠状动脉狭窄[2]。左主干是冠状动脉最大的分支,为超
关键词(KeyWords): 分叉病变;光学相干断层成像;经皮冠状动脉介入治疗
基金项目(Foundation): 国家重点研发计划资助项目(2016YFC1301100);; 国家自然基金重大仪器研制项目(81827806)
作者(Author): 高睿,于波
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