Laricchia Alessandra, Colombo Antonio
Interventional Cardiology Unit, GVM Care & Research Maria Cecilia Hospital, Cotignola, RA, Italy.
EMO-GVM, Centro Cuore Columbus, Milano, Italy.
Eur Heart J Suppl. 2020 Nov 18;22(Suppl L):L49-L52. doi: 10.1093/eurheartj/suaa134. eCollection 2020 Nov.
In the percutaneous treatment of coronary stenoses, it is essential to take into account the presence of calcifications as this influences the short- and long-term post-procedural outcomes. Today in the catheterization laboratory, there are several tools for the treatment of calcium; exploiting the different operating mechanisms, possibly even combining them together, is part of a modern approach to coronary angioplasty that aims to optimize results. To this end, each procedure must be properly planned and, in this perspective, intracoronary imaging (such as optical coherence tomography and intravascular ultrasound) is an essential aid to guide the procedure and show results.
在经皮冠状动脉狭窄治疗中,必须考虑钙化的存在,因为这会影响术后短期和长期结果。如今在导管室,有多种治疗钙化的工具;利用不同的操作机制,甚至可能将它们结合起来,是现代冠状动脉成形术方法的一部分,旨在优化治疗效果。为此,每个手术都必须进行妥善规划,从这个角度来看,冠状动脉内成像(如光学相干断层扫描和血管内超声)是指导手术和展示治疗效果的重要辅助手段。