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冠状动脉内成像在急性冠状动脉综合征中的作用:聚焦光学相干断层扫描

The role of intracoronary imaging in acute coronary syndromes: OCT in focus.

作者信息

Samir Ahmad, ElGuindy Ahmed

机构信息

Aswan Heart Centre, Aswan, Egypt.

Faculty of Medicine, Cairo University, Egypt.

出版信息

Glob Cardiol Sci Pract. 2016 Dec 30;2016(4):e201636. doi: 10.21542/gcsp.2016.36.

DOI:10.21542/gcsp.2016.36
PMID:28979905
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5624192/
Abstract

Optical coherence tomography (OCT) has emerged as a powerful intravascular imaging modality in recent years. The introduction of frequency-domain OCT has simplified the procedure and enabled its safe utilisation in different clinical settings including acute coronary syndromes, where it can determine the mechanism of plaque disruption, thrombus burden, and guide percutaneous coronary intervention. In patients presenting with stent failure (stent thrombosis and instent restenosis), OCT can also be very useful in determining the underlying mechanism and guiding therapy thereafter. This article aims to review the role of OCT in acute coronary syndromes as well as its potential clinical applications.

摘要

近年来,光学相干断层扫描(OCT)已成为一种强大的血管内成像方式。频域OCT的引入简化了操作流程,并使其能够安全应用于包括急性冠状动脉综合征在内的不同临床场景,在这些场景中,它可以确定斑块破裂的机制、血栓负荷,并指导经皮冠状动脉介入治疗。对于出现支架故障(支架血栓形成和支架内再狭窄)的患者,OCT在确定潜在机制并指导后续治疗方面也非常有用。本文旨在综述OCT在急性冠状动脉综合征中的作用及其潜在的临床应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d98/5624192/7ea9d58cf109/gcsp-2016-4-e201636-g012.jpg
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