曹成富,马玉良,李琪,赵红,刘健,卢明瑜,宋俊贤,王伟民

• 1:北京大学人民医院心内科

摘要(Abstract)：

冠状动脉钙化病变的存在,尤其是严重内膜钙化病变和钙化结节,明显增加了介入治疗的难度和风险。钙化病变普遍存在于目前的冠状动脉介入治疗中,中重度钙化病变约占30%,其中约5%为重度钙化病变。因此,准确地识别、评估钙化病变,选择恰当的技术,对严重钙化病变进行充分的预处理,对于提高手术成功率、减少手术相关并发症、改善患者近期/远期预后具有重要意义。目前常用的评估冠状动脉钙化的手段包括:冠状动脉CT血管造影、冠状动脉造影、血管内超声、光学相干断层成像等。血管内超声和光学相干断层成像是目前最常用的评估钙化病变的腔内影像学检查方法。与血管内超声相比,光学相干断层成像可评估钙化病变的厚度,能更准确地量化钙化病变的容积。因此,本文将综述光学相干断层成像在指导钙化病变介入治疗中的作用。

关键词(KeyWords)： 光学相干断层成像;钙化病变;冠状动脉斑块旋磨术

Abstract:

Keywords:

基金项目(Foundation): 国家自然科学基金（81800316）

作者(Author): 曹成富,马玉良,李琪,赵红,刘健,卢明瑜,宋俊贤,王伟民

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