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再通的慢性冠状动脉血栓:通过血管内超声揭示模糊的冠状动脉病变

Recanalized chronic coronary thrombus: unraveling a hazy coronary lesion by intravascular ultrasound.

作者信息

Karamasis Grigoris V, Chotai Shayna, Khokhar Azhar A, Kelly Paul A

机构信息

Department of Cardiology, Essex Cardiothoracic Centre, Nethermayne, Essex, UK.

出版信息

Cardiovasc Diagn Ther. 2016 Apr;6(2):185-7. doi: 10.21037/cdt.2015.12.10.

Abstract

Hazy lesions in coronary angiography can often be a puzzle for the interventional cardiologist. Recanalized chronic coronary thrombus, although rare, is one of the potential diagnoses. Intracoronary imaging with intravascular ultrasound (IVUS) and optical coherence tomography (OCT) are tools that can guide to the correct diagnosis. We present the images of a case where IVUS was used to unravel such a lesion.

摘要

冠状动脉造影中的模糊病变常常让介入心脏病学家感到困惑。再通的慢性冠状动脉血栓虽然罕见,但也是可能的诊断之一。血管内超声(IVUS)和光学相干断层扫描(OCT)等冠状动脉内成像技术是有助于做出正确诊断的工具。我们展示了一个使用IVUS来明确此类病变的病例图像。

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