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钙化性冠状动脉粥样硬化的新型介入解决方案:钻磨、激光、冲击波

New interventional solutions in calcific coronary atherosclerosis: drill, laser, shock waves.

作者信息

Laricchia Alessandra, Colombo Antonio

机构信息

Interventional Cardiology Unit, GVM Care & Research Maria Cecilia Hospital, Cotignola, RA, Italy.

EMO-GVM, Centro Cuore Columbus, Milano, Italy.

出版信息

Eur Heart J Suppl. 2020 Nov 18;22(Suppl L):L49-L52. doi: 10.1093/eurheartj/suaa134. eCollection 2020 Nov.

DOI:10.1093/eurheartj/suaa134
PMID:33654467
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7904079/
Abstract

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.

摘要

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。

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本文引用的文献

1
Safety and Effectiveness of Coronary Intravascular Lithotripsy for Treatment of Severely Calcified Coronary Stenoses: The Disrupt CAD II Study.冠状动脉血管内碎石术治疗严重钙化冠状动脉狭窄的安全性和有效性:Disrupt CAD II 研究。
Circ Cardiovasc Interv. 2019 Oct;12(10):e008434. doi: 10.1161/CIRCINTERVENTIONS.119.008434. Epub 2019 Sep 25.
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Feasibility of Shockwave Coronary Intravascular Lithotripsy for the Treatment of Calcified Coronary Stenoses.冲击波冠状动脉内碎石术治疗钙化性冠状动脉狭窄的可行性
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High-Speed Rotational Atherectomy Versus Modified Balloons Prior to Drug-Eluting Stent Implantation in Severely Calcified Coronary Lesions.
高速旋磨术与改良球囊在药物洗脱支架置入治疗严重钙化冠状动脉病变前的应用比较。
Circ Cardiovasc Interv. 2018 Oct;11(10):e007415. doi: 10.1161/CIRCINTERVENTIONS.118.007415.
4
Coronary Intervention with the Excimer Laser: Review of the Technology and Outcome Data.准分子激光冠状动脉介入治疗:技术与结果数据综述
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Optical Coherence Tomography Characterization of Coronary Lithoplasty for Treatment of Calcified Lesions: First Description.光学相干断层成像术对冠状动脉旋磨术治疗钙化病变的特征描述:首次报道
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Calcium: A predictor of interventional treatment failure across all fields of cardiovascular medicine.钙:心血管医学所有领域介入治疗失败的一个预测指标。
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Excimer Laser LEsion modification to expand non-dilatable stents: the ELLEMENT registry.准分子激光病变修饰以扩张不可扩张支架:ELLEMENT注册研究
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High-speed rotational atherectomy before paclitaxel-eluting stent implantation in complex calcified coronary lesions: the randomized ROTAXUS (Rotational Atherectomy Prior to Taxus Stent Treatment for Complex Native Coronary Artery Disease) trial.在紫杉醇洗脱支架植入前对复杂钙化冠状动脉病变进行高速旋磨术:随机 ROTAXUS(旋磨术在紫杉醇支架治疗复杂原生冠状动脉疾病之前)试验。
JACC Cardiovasc Interv. 2013 Jan;6(1):10-9. doi: 10.1016/j.jcin.2012.07.017. Epub 2012 Dec 19.
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