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切割球囊血管成形术。

Cutting balloon angioplasty.

作者信息

Lee Michael S, Singh Varinder, Nero Thomas J, Wilentz James R

机构信息

Division of Cardiology, St. Luke s-Roosevelt Hospital Center, New York, NY 10025, USA.

出版信息

J Invasive Cardiol. 2002 Sep;14(9):552-6.

Abstract

The Cutting Balloon is a unique angioplasty device used in percutaneous coronary interventions. The advantage of the Cutting Balloon is its ability to reduce vessel stretch and vessel injury by scoring the vessel longitudinally rather than causing an uncontrolled disruption of the atherosclerotic plaque. The atherotomes deliver a controlled fault line during dilatation to ensure that the crack propagation ensues in an orderly fashion. Lower balloon inflation pressures (4 8 atmospheres) are recommended with the Cutting Balloon. The Cutting Balloon also dilates the target vessel with less force to decrease the risk of a neoproliferative response and in-stent restenosis.

摘要

切割球囊是一种用于经皮冠状动脉介入治疗的独特血管成形术器械。切割球囊的优势在于,它通过纵向划破血管,而非导致动脉粥样硬化斑块不受控制地破裂,从而减少血管拉伸和血管损伤。在扩张过程中,切割刀产生一条可控的破裂线,以确保裂纹有序扩展。建议使用切割球囊时采用较低的球囊充盈压力(4至8个大气压)。切割球囊还以较小的力量扩张目标血管,以降低新生内膜增生反应和支架内再狭窄的风险。

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