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在导管室开展冠状动脉计算机断层扫描血管造影术

Implementing Coronary Computed Tomography Angiography in the Catheterization Laboratory.

作者信息

Collet Carlos, Sonck Jeroen, Leipsic Jonathon, Monizzi Giovanni, Buytaert Dimitri, Kitslaar Pieter, Andreini Daniele, De Bruyne Bernard

机构信息

Cardiovascular Center Aalst, Onze Lieve Vrouw Ziekenhuis, Aalst, Belgium.

Cardiovascular Center Aalst, Onze Lieve Vrouw Ziekenhuis, Aalst, Belgium; Department of Advanced Biomedical Sciences, University of Naples, Federico II, Naples, Italy.

出版信息

JACC Cardiovasc Imaging. 2021 Sep;14(9):1846-1855. doi: 10.1016/j.jcmg.2020.07.048. Epub 2020 Nov 25.

Abstract

Coronary computed tomography angiography (CCTA) is now an established tool in the diagnostic work-up of patients suspected to have coronary artery disease. Yet, its usefulness beyond this phase has not been fully explored. The current review focuses on the implementation of CCTA as a tool to plan and guide coronary interventions in the catheterization laboratory. Specifically, we explore the potential of CCTA to improve patient selection for percutaneous revascularization, provide the rationale for better resource use, and present a novel approach to incorporate 3-dimensional CT guidance for percutaneous coronary interventions.

摘要

冠状动脉计算机断层扫描血管造影(CCTA)现已成为疑似患有冠状动脉疾病患者诊断检查中的一项既定工具。然而,其在此阶段之外的用途尚未得到充分探索。本综述重点关注将CCTA作为一种在导管实验室中规划和指导冠状动脉介入治疗的工具的应用。具体而言,我们探讨了CCTA在改善经皮血管重建术患者选择方面的潜力,为更好地利用资源提供理论依据,并提出一种将三维CT引导纳入经皮冠状动脉介入治疗的新方法。

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