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经皮冠状动脉介入治疗期间的成像以优化治疗结果。

Imaging during percutaneous coronary intervention for optimizing outcomes.

作者信息

Mehrotra S, Mishra Sundeep, Paramasivam Ganesh

机构信息

Cardiology, PGIMER, Chandigarh, India.

Cardiology, AIIMS, Delhi, India.

出版信息

Indian Heart J. 2018 Dec;70 Suppl 3(Suppl 3):S456-S465. doi: 10.1016/j.ihj.2018.08.012. Epub 2018 Aug 18.

DOI:10.1016/j.ihj.2018.08.012
PMID:30595307
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6309719/
Abstract

Angiography is the current gold standard for imaging during percutaneous coronary interventions but has significant limitations. Catheter-based intravascular imaging techniques such as intravascular ultrasound and the more recent optical coherence tomography have the potential to overcome these limitations and thus optimize clinical outcomes. In this update, we discussed the current applications of the available imaging techniques, existing evidence, continuing unmet needs, and potential areas for further research.

摘要

血管造影术是目前经皮冠状动脉介入治疗期间成像的金标准,但存在显著局限性。基于导管的血管内成像技术,如血管内超声和最新的光学相干断层扫描,有可能克服这些局限性,从而优化临床结果。在本次更新中,我们讨论了现有成像技术的当前应用、现有证据、持续未满足的需求以及进一步研究的潜在领域。

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本文引用的文献

1
Three-dimensional reconstruction of optical coherence tomography for improving bifurcation stenting.用于改善分叉处支架置入的光学相干断层扫描三维重建
J Cardiol Cases. 2016 Mar 14;13(5):137-138. doi: 10.1016/j.jccase.2016.02.004. eCollection 2016 May.
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Clinical use of intracoronary imaging. Part 1: guidance and optimization of coronary interventions. An expert consensus document of the European Association of Percutaneous Cardiovascular Interventions.冠状动脉内影像学的临床应用。第 1 部分:冠状动脉介入治疗的指导和优化。欧洲经皮心血管介入治疗协会的专家共识文件。
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Optical coherence tomography characteristics of in-stent restenosis are different between first and second generation drug eluting stents.
第一代和第二代药物洗脱支架内再狭窄的光学相干断层扫描特征有所不同。
Int J Cardiol Heart Vessel. 2014 Mar 19;3:68-74. doi: 10.1016/j.ijchv.2014.03.003. eCollection 2014 Jun.
4
Optical frequency domain imaging vs. intravascular ultrasound in percutaneous coronary intervention (OPINION trial): one-year angiographic and clinical results.光学相干断层成像与血管内超声在经皮冠状动脉介入治疗中的比较(OPINION 试验):一年的血管造影和临床结果。
Eur Heart J. 2017 Nov 7;38(42):3139-3147. doi: 10.1093/eurheartj/ehx351.
5
Optical coherence tomography guidance during bioresorbable vascular scaffold implantation.生物可吸收血管支架植入术中的光学相干断层扫描引导
J Thorac Dis. 2017 Aug;9(Suppl 9):S986-S993. doi: 10.21037/jtd.2017.07.111.
6
Methods to assess bioresorbable vascular scaffold devices behaviour after implantation.评估生物可吸收血管支架装置植入后行为的方法。
J Thorac Dis. 2017 Aug;9(Suppl 9):S959-S968. doi: 10.21037/jtd.2017.06.110.
7
In Vivo Calcium Detection by Comparing Optical Coherence Tomography, Intravascular Ultrasound, and Angiography.体内钙检测的比较:光学相干断层扫描、血管内超声和血管造影。
JACC Cardiovasc Imaging. 2017 Aug;10(8):869-879. doi: 10.1016/j.jcmg.2017.05.014.
8
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Circulation. 2017 Sep 12;136(11):1007-1021. doi: 10.1161/CIRCULATIONAHA.117.026788. Epub 2017 Jul 18.
9
Intravascular Ultrasound for the Assessment of Coronary Lesion Severity and Optimization of Percutaneous Coronary Interventions.血管内超声用于评估冠状动脉病变严重程度及优化经皮冠状动脉介入治疗
Interv Cardiol Clin. 2015 Jul;4(3):383-395. doi: 10.1016/j.iccl.2015.02.010. Epub 2015 May 29.
10
Intravascular Ultrasound Guidance Is Associated With Better Outcome in Patients Undergoing Unprotected Left Main Coronary Artery Stenting Compared With Angiography Guidance Alone.血管内超声指导与单独血管造影指导相比,可改善行经皮冠状动脉介入治疗的无保护左主干患者的预后。
Circ Cardiovasc Interv. 2017 May;10(5). doi: 10.1161/CIRCINTERVENTIONS.116.004813.