伪装成冠状动脉血栓的富含脂质的斑块。
Lipid-rich plaque masquerading as a coronary thrombus.
作者信息
Rezkalla Shereif H, Holmes David R
机构信息
Department of Cardiology, Marshfield Clinic, Marshfield, WI 54449, USA.
出版信息
Clin Med Res. 2006 Jun;4(2):119-22. doi: 10.3121/cmr.4.2.119.
Abstract
A 43-year-old woman presented with exertional chest pressure. Right coronary angiography showed a clear filling defect. Intravascular ultrasound revealed a plaque with 80% stenosis and a large lipid pool. Therefore, a stent was placed, and the patient became angina-free. Lipid-rich plaques are a cause of angiographic filling defects. Intravascular ultrasound is an integral part of coronary artery evaluation.
摘要
一名43岁女性因运动时胸部受压前来就诊。右冠状动脉血管造影显示有明显的充盈缺损。血管内超声显示一个斑块，狭窄率达80%，并有一个大的脂质池。因此，植入了一枚支架，患者心绞痛症状消失。富含脂质的斑块是血管造影充盈缺损的一个原因。血管内超声是冠状动脉评估不可或缺的一部分。
相似文献
1
Lipid-rich plaque masquerading as a coronary thrombus.伪装成冠状动脉血栓的富含脂质的斑块。
Clin Med Res. 2006 Jun;4(2):119-22. doi: 10.3121/cmr.4.2.119.
2
Near-Infrared Spectroscopy Intravascular-Ultrasound-Guided Intervention in Minimal Coronary Artery Stenosis: A Case Report.近红外光谱血管内超声引导下治疗极轻度冠状动脉狭窄：病例报告。
Medicina (Kaunas). 2022 Aug 27;58(9):1166. doi: 10.3390/medicina58091166.
3
Hyperintense plaque identified by magnetic resonance imaging relates to intracoronary thrombus as detected by optical coherence tomography in patients with angina pectoris.磁共振成像显示的高信号斑块与心绞痛患者光学相干断层扫描检测到的冠状动脉内血栓有关。
Eur Heart J Cardiovasc Imaging. 2012 May;13(5):394-9. doi: 10.1093/ehjci/jer305. Epub 2012 Jan 24.
4
Hazy filling defect on coronary angiography: insights from optical coherence tomography.冠状动脉造影上的模糊充盈缺损：光学相干断层扫描的见解
Heart. 2015 Jul;101(14):1110, 1169. doi: 10.1136/heartjnl-2014-307026.
5
Fractional flow reserve, an effective preoperative guideline to a patient with a huge coronary artery fistula and tandem stenosis.血流储备分数，是巨大冠状动脉瘘合并串联狭窄患者有效的术前指导指标。
Int J Cardiol. 2015 Nov 15;199:333-4. doi: 10.1016/j.ijcard.2015.06.135. Epub 2015 Jul 2.
6
OCT findings in patients with recanalization of organized thrombi in coronary arteries.OCT 观察冠状动脉再通的机化血栓患者的结果。
JACC Cardiovasc Imaging. 2012 Jul;5(7):725-32. doi: 10.1016/j.jcmg.2012.03.012.
7
Healed Plaques in Patients With Stable Angina Pectoris.稳定型心绞痛患者的斑块愈合。
Arterioscler Thromb Vasc Biol. 2020 Jun;40(6):1587-1597. doi: 10.1161/ATVBAHA.120.314298. Epub 2020 Apr 16.
8
Lipid-rich obstructive coronary lesions is plaque characterization any important?富含脂质的阻塞性冠状动脉病变的斑块特征很重要吗？
JACC Cardiovasc Imaging. 2010 Aug;3(8):893-5. doi: 10.1016/j.jcmg.2010.06.009.
9
Plaque morphology predictors of side branch occlusion after provisional stenting in coronary bifurcation lesion: Results of optical coherence tomography bifurcation study (ORBID).冠状动脉分叉病变临时支架置入术后边支闭塞的斑块形态学预测因素：光学相干断层扫描分叉研究（ORBID）结果
Catheter Cardiovasc Interv. 2017 Feb 1;89(2):259-268. doi: 10.1002/ccd.26524. Epub 2016 Mar 31.
10
Coronary plaque erosion without rupture into a lipid core. A frequent cause of coronary thrombosis in sudden coronary death.冠状动脉斑块侵蚀，未破裂进入脂质核心。是心源性猝死中冠状动脉血栓形成的常见原因。
Circulation. 1996 Apr 1;93(7):1354-63. doi: 10.1161/01.cir.93.7.1354.
本文引用的文献
1
Carotid plaque composition in stable and unstable coronary artery disease.稳定型和不稳定型冠状动脉疾病中的颈动脉斑块成分
Am Heart J. 2005 Oct;150(4):782-9. doi: 10.1016/j.ahj.2004.12.023.
2
Intravascular ultrasound assessment of angiographic filling defects in native coronary arteries: do they always contain thrombi?血管内超声评估天然冠状动脉造影充盈缺损：它们总是包含血栓吗？
J Am Coll Cardiol. 2004 Nov 16;44(10):2087-9. doi: 10.1016/j.jacc.2004.08.017.
3
Coronary artery "pseudothrombus" due to collateral flow artifact distal to left circumflex coronary stenosis.左旋支冠状动脉狭窄远端侧支血流伪像所致冠状动脉“假血栓”
J Interv Cardiol. 2002 Oct;15(5):425-9; discussion 429-30. doi: 10.1111/j.1540-8183.2002.tb01081.x.
4
5
Woven coronary artery: differential diagnosis with diffuse intracoronary thrombosis.编织状冠状动脉：与弥漫性冠状动脉内血栓形成的鉴别诊断
Ital Heart J. 2000 Apr;1(4):306-7.
6
7
The clinical utility of angioscopy during intracoronary stent implantation.冠状动脉内支架植入术中血管镜检查的临床应用价值。
J Interv Cardiol. 1994 Apr;7(2):181-6. doi: 10.1111/j.1540-8183.1994.tb00901.x.
8
Selective coronary angiography in intracardiac tumors.心脏内肿瘤的选择性冠状动脉造影
J Interv Cardiol. 1993 Jun;6(2):125-9. doi: 10.1111/j.1540-8183.1993.tb00844.x.
9
Role of angiographically identifiable thrombus on long-term luminal renarrowing after coronary angioplasty: a quantitative angiographic analysis.血管造影可识别血栓在冠状动脉成形术后长期管腔再狭窄中的作用：定量血管造影分析
Circulation. 1996 Mar 1;93(5):889-97. doi: 10.1161/01.cir.93.5.889.
10
Angioscopic evaluation of incompletely obstructing coronary intraluminal filling defects: comparison to angiography.冠状动脉腔内不完全阻塞性充盈缺损的血管内镜评估：与血管造影的比较
Cathet Cardiovasc Diagn. 1994 Dec;33(4):323-9. doi: 10.1002/ccd.1810330407.
Zotero 插件