准分子激光预处理对急性冠状动脉综合征中钙化结节的疗效。
The efficacy of excimer laser pretreatment for calcified nodule in acute coronary syndrome.
作者信息
Ashikaga Takashi, Yoshikawa Shunji, Isobe Mitsuaki
机构信息
Department of Cardiovascular Medicine, Tokyo Medical and Dental University, Tokyo.
Department of Cardiovascular Medicine, Tokyo Medical and Dental University, Tokyo.
出版信息
Cardiovasc Revasc Med. 2015 Apr-May;16(3):197-200. doi: 10.1016/j.carrev.2014.09.006. Epub 2014 Oct 5.
Stent underexpansion is known as a major cause of restenosis and stent thrombosis in calcified coronary lesions. We report a case of calcified nodule pretreated with excimer laser coronary angioplasty (ELCA) in acute coronary syndrome (ACS). Excimer laser use altered underlying lesion morphology such as calcified nodule and accompanied plaque and thrombus. Pretreatment of ELCA may be a useful tool to get a full expansion of the deployed stent without distal embolism for calcified nodule in ACS.
支架扩张不足是钙化冠状动脉病变中再狭窄和支架血栓形成的主要原因。我们报告了1例在急性冠状动脉综合征（ACS）中采用准分子激光冠状动脉成形术（ELCA）预处理钙化结节的病例。准分子激光的使用改变了潜在病变的形态，如钙化结节以及伴随的斑块和血栓。对于ACS中的钙化结节，ELCA预处理可能是一种有用的工具，可使置入的支架充分扩张且无远端栓塞。
Zotero 插件