与球囊血管成形术相比，定向旋切术的光学相干断层扫描评估

OCT evaluation of directional atherectomy compared to balloon angioplasty.

作者信息

Marmagkiolis Konstantinos, Lendel Vasili, Cilingiroglu Mehmet

机构信息

Citizens Memorial Hospital Heart and Vascular Institute, Bolivar, MO.

Arkansas Heart Hospital, Peripheral Vascular Institute, Little Rock, AR.

出版信息

Cardiovasc Revasc Med. 2015 Sep;16(6):373-5. doi: 10.1016/j.carrev.2015.02.003. Epub 2015 Feb 26.

DOI:10.1016/j.carrev.2015.02.003

PMID:25753654

Abstract

Directional atherectomy (DA) is one of the most commonly used modalities for the treatment of obstructive femoropopliteal peripheral arterial disease (PAD), especially in patients with large and calcified atherosclerotic plaques. The effect of directional atherectomy to the vascular wall compared to balloon angioplasty by optical coherence tomography (OCT) has not been previously described. We present the first case of OCT after directional atherectomy with SilverHawk followed by angiosculpt balloon angioplasty.

摘要

定向斑块旋切术（DA）是治疗股腘动脉阻塞性外周动脉疾病（PAD）最常用的方法之一，尤其是对于有大的钙化动脉粥样硬化斑块的患者。与球囊血管成形术相比，定向斑块旋切术对血管壁的影响此前尚未通过光学相干断层扫描（OCT）进行描述。我们展示了首例在使用SilverHawk进行定向斑块旋切术并随后进行Angiosculpt球囊血管成形术后的OCT病例。