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激光斑块消蚀术的超声引导

Ultrasound guidance of laser atherectomy.

作者信息

Aretz H T, Gregory K W, Martinelli M A, Gregg R E, LeDet E G, Hatch G F, Sedlacek T, Haase W C

机构信息

Department of Pathology, New England Deaconess Hospital, Burlington, MA.

出版信息

Int J Card Imaging. 1991;6(3-4):231-7. doi: 10.1007/BF01797854.

DOI:10.1007/BF01797854
PMID:1919065
Abstract

Intravascular ultrasound imaging catheters and forward firing laser atherectomy systems are both being used in the coronary vascular tree of man. When used in conjunction, ultrasound imaging may reduce the probability of perforation and dissection related to laser atherectomy. A novel system is presented which combines ultrasound imaging and laser atherectomy capabilities on the same catheter. The system incorporates a holmium YAG laser directed perpendicular to the long axis of the catheter along with a co-directional ultrasound sensor. Ultrasound images are assembled by computer using the angle of the catheter tip and its linear advance associated with each ultrasound echo signal. In vivo experimental results are presented.

摘要

血管内超声成像导管和前向发射激光斑块切除术系统都已应用于人体冠状动脉血管树。联合使用时,超声成像可降低与激光斑块切除术相关的穿孔和夹层形成的概率。本文介绍了一种新型系统,该系统将超声成像和激光斑块切除功能集成在同一导管上。该系统包括一个垂直于导管长轴方向的钬钇铝石榴石激光,以及一个同向超声传感器。超声图像由计算机根据导管尖端的角度及其与每个超声回波信号相关的线性推进来合成。文中给出了体内实验结果。

相似文献

1
Ultrasound guidance of laser atherectomy.激光斑块消蚀术的超声引导
Int J Card Imaging. 1991;6(3-4):231-7. doi: 10.1007/BF01797854.
2
Intravascular ultrasound as a guiding modality for mechanical atherectomy and laser ablation.血管内超声作为机械性血管斑块切除术和激光消融术的引导方式。
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Intravascular ultrasound guidance for catheter-based coronary interventions.
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Multivariate predictors of intravascular ultrasound end points after directional coronary atherectomy.定向冠状动脉斑块旋切术后血管内超声终点的多变量预测因素
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Transcatheter device synergy: preliminary experience with adjunct directional coronary atherectomy following high-speed rotational atherectomy or excimer laser angioplasty in the treatment of coronary artery disease.经导管装置协同作用:在冠状动脉疾病治疗中,高速旋磨术或准分子激光血管成形术后辅助定向冠状动脉斑块旋切术的初步经验。
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The contribution of tissue removal to lumen improvement after directional coronary atherectomy.定向冠状动脉旋切术后组织切除对管腔改善的作用。
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The use of the holmium:YAG laser in coronary disease: the utility of a unique lensed fiber catheter.钬激光在冠状动脉疾病中的应用:一种独特的带透镜光纤导管的效用。
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Intravascular ultrasound imaging: a new method for guiding interventional vascular procedures.血管内超声成像:一种指导血管介入手术的新方法。
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引用本文的文献

1
Three dimensional reconstruction of cross sectional intracoronary ultrasound: clinical or research tool?冠状动脉内超声横截面的三维重建:临床工具还是研究工具?
Br Heart J. 1995 May;73(5 Suppl 2):26-32. doi: 10.1136/hrt.73.5_suppl_2.26.

本文引用的文献

1
Nonvascular endoluminal ultrasound makes debut.非血管腔内超声首次亮相。
Diagn Imaging (San Franc). 1991 Feb;13(2):100-4.
2
Anatomy, histology, and pathology of the major epicardial coronary arteries relevant to echocardiographic imaging techniques.与超声心动图成像技术相关的主要心外膜冠状动脉的解剖学、组织学和病理学。
J Am Soc Echocardiogr. 1989 Jul-Aug;2(4):232-52. doi: 10.1016/s0894-7317(89)80084-7.
3
Intraluminal ultrasound guidance of transverse laser coronary atherectomy.横向激光冠状动脉斑块旋切术的腔内超声引导
Int J Card Imaging. 1989;4(2-4):153-7. doi: 10.1007/BF01745145.
4
Holmium:YAG laser ablation of vascular tissue.
Lasers Surg Med. 1990;10(5):405-13. doi: 10.1002/lsm.1900100502.