Qureshi Athar M, Agrawal Hitesh
CE Mullins Cardiac Catheterization Laboratories, Houston, Texas, USA.
Coronary Anomalies Program and Division of Pediatric Cardiology, Texas Children's Hospital, Houston, Texas, USA.
Congenit Heart Dis. 2017 Sep;12(5):615-618. doi: 10.1111/chd.12500. Epub 2017 Jun 13.
Most diagnostic testing in patients with anomalous aortic origins of coronary arteries, myocardial bridges, and coronary artery changes after Kawasaki disease are performed with the use of noninvasive techniques. In some cases, however, further diagnostic information is needed to guide the clinician in treating these patients. In such instances, cardiac catheterization with invasive anatomic and functional testing is an invaluable tool. Moreover, interventional treatment in the cardiac catheterization laboratory may be performed in a small subset of these patients. As the diagnosis of these conditions is now becoming more common, it is important for pediatric interventional cardiologists to be familiar with these techniques. In this article, the role of angiography, intravascular ultrasound, fractional flow reserve, and optical coherence tomography in these patients is reviewed.
对于患有冠状动脉异常起源、心肌桥以及川崎病后冠状动脉改变的患者，大多数诊断性检查采用非侵入性技术进行。然而，在某些情况下，需要进一步的诊断信息来指导临床医生治疗这些患者。在此类情况下，进行侵入性解剖和功能测试的心脏导管插入术是一项非常有价值的工具。此外，在心脏导管插入实验室中，一小部分此类患者可能会接受介入治疗。由于这些病症的诊断现在变得越来越普遍，小儿介入心脏病学家熟悉这些技术很重要。本文将对血管造影、血管内超声、血流储备分数和光学相干断层扫描在这些患者中的作用进行综述。
