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光学相干断层扫描和支架增强成像引导的生物可吸收血管支架重叠术用于冠状动脉慢性完全闭塞病变

Optical Coherence Tomography and Stent Boost Imaging Guided Bioresorbable Vascular Scaffold Overlapping for Coronary Chronic Total Occlusion Lesion.

作者信息

Li Hu, Rha Seung Woon, Choi Cheol Ung, Oh Dong Joo

机构信息

Department of Cardiovascular, The Second Afliated Hospital of Kunming Medical University, Kunming, China.

Cardiovascular Center, Korea University Guro Hospital, Seoul, Korea.

出版信息

Yonsei Med J. 2017 Sep;58(5):1071-1074. doi: 10.3349/ymj.2017.58.5.1071.

DOI:10.3349/ymj.2017.58.5.1071
PMID:28792157
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5552638/
Abstract

We report herein the optical coherence tomography (OCT) and stent boost imaging guided bioresorbable vascular scaffold (BVS) implantation for right coronary artery (RCA) chronic total occlusion (CTO) lesion. The gold standard for evaluating BVS expansion after percutaneous coronary intervention is OCT. However, stent boost imaging is a new technique that improves fluoroscopy-based assessments of stent overlapping, and the present case shows clinical usefulness of OCT and stent boost imaging guided 'overlapping' BVS implantation via antegrade approach for a typical RCA CTO lesion.

摘要

我们在此报告光学相干断层扫描(OCT)和支架增强成像引导下的生物可吸收血管支架(BVS)植入治疗右冠状动脉(RCA)慢性完全闭塞(CTO)病变。经皮冠状动脉介入治疗后评估BVS扩张的金标准是OCT。然而,支架增强成像是一种新技术,可改善基于荧光透视的支架重叠评估,本病例显示了OCT和支架增强成像引导下通过顺行途径对典型RCA CTO病变进行“重叠”BVS植入的临床实用性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba67/5552638/23d504cab273/ymj-58-1071-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba67/5552638/57b236da7a3b/ymj-58-1071-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba67/5552638/22c33b799873/ymj-58-1071-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba67/5552638/23d504cab273/ymj-58-1071-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba67/5552638/57b236da7a3b/ymj-58-1071-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba67/5552638/22c33b799873/ymj-58-1071-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba67/5552638/23d504cab273/ymj-58-1071-g003.jpg

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本文引用的文献

1
Percutaneous coronary intervention for chronic total occlusion of the coronary artery with the implantation of bioresorbable everolimus-eluting scaffolds. Poznan CTO-Absorb Pilot Registry.经皮冠状动脉介入治疗冠状动脉慢性完全闭塞并植入生物可吸收依维莫司洗脱支架。波兹南CTO-吸收试验注册研究。
EuroIntervention. 2016 Jun 12;12(2):e144-51. doi: 10.4244/EIJV12I2A27.
2
Bioresorbable Scaffold vs. Second Generation Drug Eluting Stent in Long Coronary Lesions requiring Overlap: A Propensity-Matched Comparison (the UNDERDOGS study).生物可吸收支架与第二代药物洗脱支架用于需要重叠的长冠状动脉病变:一项倾向匹配比较研究(UNDERDOGS研究)
Int J Cardiol. 2016 Apr 1;208:40-5. doi: 10.1016/j.ijcard.2016.01.202. Epub 2016 Jan 21.
3
Everolimus-Eluting Bioresorbable Scaffolds for Coronary Artery Disease.
依维莫司洗脱生物可吸收支架治疗冠状动脉疾病。
N Engl J Med. 2015 Nov 12;373(20):1905-15. doi: 10.1056/NEJMoa1509038. Epub 2015 Oct 12.
4
The ABSORB bioresorbable vascular scaffold: A novel, fully resorbable drug-eluting stent: Current concepts and overview of clinical evidence.ABSORB生物可吸收血管支架:一种新型的、完全可吸收的药物洗脱支架:当前概念及临床证据概述
Catheter Cardiovasc Interv. 2015 Oct;86(4):664-77. doi: 10.1002/ccd.26172.
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Bioresorbable vascular scaffold overlap evaluation with optical coherence tomography after implantation with or without enhanced stent visualization system (WOLFIE study): a two-centre prospective comparison.生物可吸收血管支架植入后使用或不使用增强型支架可视化系统的光学相干断层扫描重叠评估(WOLFIE研究):一项两中心前瞻性比较研究
Int J Cardiovasc Imaging. 2016 Feb;32(2):211-223. doi: 10.1007/s10554-015-0756-1. Epub 2015 Sep 1.
6
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Int J Cardiol. 2015;187:90-6. doi: 10.1016/j.ijcard.2015.03.164. Epub 2015 Mar 17.
7
Optical coherence tomography evaluation of overlapping everolimus-eluting bioresorbable vascular scaffold implantation guided by enhanced stent visualization system.
Int J Cardiol. 2015 Mar 1;182:1-3. doi: 10.1016/j.ijcard.2014.12.103. Epub 2014 Dec 28.
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Bioresorbable everolimus-eluting vascular scaffold for the treatment of chronic total occlusions: CTO-ABSORB pilot study.生物可吸收依维莫司洗脱血管支架治疗慢性完全闭塞病变:CTO-ABSORB 初步研究。
EuroIntervention. 2015 Sep;11(5):555-63. doi: 10.4244/EIJY14M12_07.