[光学相干断层扫描引导下的支架植入术]

[Optical coherence tomography-guided stent implantation].

作者信息

Jabłoński Mirosław, Koziński Marek, Rychter Marcin, Radomski Marek, Białoszyński Tomasz, Sukiennik Adam, Kubica Jacek

机构信息

Klinika Kardiologii i Chorób Wewnetrznych, Collegium Medicum, Uniwersytet Mikołaja Kopernika w Toruniu, ul. Marii Curie-Skłodowskiej 9, 85-094 Bydgoszcz.

出版信息

Kardiol Pol. 2009 Oct;67(10):1140-5.

PMID:20017084

Abstract

A case of 51-year-old woman who was admitted to Department of Cardiology and Internal Medicine in Bydgoszcz due to unstable angina pectoris with elevated level of troponin I is presented. The patient underwent optical coherence tomography-guided angioplasty of the proximal left anterior descending artery with an implantation of everolimus-eluting stent. Optical coherence tomography (OCT) visualized a plaque or thrombus prolaps between stent struts that was undetectable by intravascular ultrasound. A postdylatation with a bigger balloon was performed. Final OCT imaging revealed a well apposed and expanded coronary stent without any tissue prolaps between struts.

摘要

本文介绍了一名51岁女性患者，因不稳定型心绞痛伴肌钙蛋白I水平升高入住比得哥什心脏病和内科。患者接受了光学相干断层扫描引导下的左前降支近端血管成形术，并植入了依维莫司洗脱支架。光学相干断层扫描（OCT）显示支架小梁之间有斑块或血栓脱垂，血管内超声未检测到。使用更大的球囊进行了后扩张。最终的OCT成像显示冠状动脉支架贴壁良好且扩张充分，小梁之间没有任何组织脱垂。