严重冠状动脉钙化的治疗新进展。

New Advances in the Treatment of Severe Coronary Artery Calcifications.

机构信息

Structural Interventional Cardiology, Department of Clinical and Experimental Medicine, Careggi University Hospital, Largo Brambilla, 3, Florence 50134, Italy.

出版信息

Cardiol Clin. 2020 Nov;38(4):619-627. doi: 10.1016/j.ccl.2020.07.007.

DOI:10.1016/j.ccl.2020.07.007

PMID:33036722

Abstract

Coronary artery calcifications are always challenging scenarios for interventional cardiologists. Calcium content in coronary tree directly correlates with male sex, age, Caucasian ethnicity, diabetes, and chronic kidney disease. Intracoronary imaging is useful and necessary to understand calcific lesion features and plan the best percutaneous coronary intervention strategy. Thus, accurate evaluation of patient and lesion characteristics is crucial. For this reason, definition of calcific arc, length, and thickness can suggest the best procedure before stenting and final optimization. In our modern era, different devices are available and all are surprisingly promising.

摘要

冠状动脉钙化一直是介入心脏病学家面临的挑战。冠状动脉中的钙含量与男性、年龄、白种人、糖尿病和慢性肾脏病直接相关。冠状动脉内影像学对于了解钙化病变特征和制定最佳经皮冠状动脉介入治疗策略非常有用且必要。因此，准确评估患者和病变特征至关重要。出于这个原因，钙化弧、长度和厚度的定义可以提示在支架置入前和最终优化的最佳手术方案。在我们这个现代时代，有多种不同的器械可供选择，而且都非常有前途。