《冠状动脉内旋磨术中国专家共识（2026年更新版）》专家组

摘要(Abstract)：

冠状动脉钙化病变增加经皮冠状动脉介入治疗的难度及风险，旋磨是充分进行斑块修饰、保证介入治疗效果的重要环节。本共识在2017年《冠状动脉内旋磨术中国专家共识》的基础上，结合最新临床研究与器械进展，系统更新冠状动脉内旋磨术的临床应用建议，涵盖循证依据、器械特征、适应证与禁忌证、操作要点、并发症防治、腔内影像学应用及特定临床情境等。强调根据病变特征与风险获益评估制订治疗策略，合理采用主动旋磨，规范导丝、旋磨头及旋磨参数的选择；腔内影像学贯穿病变评估、术中决策及疗效判断；针对复杂高危患者，强调个体化决策、经验要求及必要的循环支持与外科后援。本共识旨在为临床实践提供系统指导，提高旋磨应用的规范性与安全性，推动我国钙化病变介入治疗同质化发展。

关键词(KeyWords)： 冠状动脉钙化;旋磨;经皮冠状动脉介入治疗

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 《冠状动脉内旋磨术中国专家共识（2026年更新版）》专家组

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