支架膨胀不全的预防及处理The prevention and management of stent under-expansion
姜浩,孙敏,梁超,田天,方士杰,唐强
摘要(Abstract):
支架膨胀不全是冠状动脉介入过程中相对常见的情况。严重的支架膨胀不全会导致支架内再狭窄、支架内血栓形成及支架断裂等严重后果,越来越多的医师认识到识别和处理危及患者生命的支架膨胀不全尤为关键。腔内影像学对于指导冠状动脉介入过程中如何预防支架膨胀不全有重要作用。近期相关研究阐释了震波球囊、准分子激光、冠状动脉斑块旋磨术等技术处理支架膨胀不全的可行性。本文将从支架膨胀不全的病理生理机制、腔内影像评估以及处理等方面做一综述,以供冠状动脉介入医师参考。
关键词(KeyWords): 支架膨胀不全;腔内影像学;震波球囊;准分子激光冠状动脉斑块消蚀术;冠状动脉斑块旋磨术
基金项目(Foundation):
作者(Author): 姜浩,孙敏,梁超,田天,方士杰,唐强
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