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非阻塞性普通血管镜在评估主动脉瓣体内粥样硬化病变中的临床观察。

Clinical insights of non-obstructive general angioscopy for assessing atherosclerotic pathology of aortic valve in vivo.

机构信息

Division of Cardiology, Department of Medicine, Nihon University School of Medicine, 30-1 Ohyaguchi-kamicho, Itabashi-ku, Tokyo, 173-8610, Japan.

Osaka Police Hospital, Osaka, Japan.

出版信息

Int J Cardiovasc Imaging. 2021 Jun;37(6):1839-1841. doi: 10.1007/s10554-021-02183-6. Epub 2021 Mar 4.

DOI:10.1007/s10554-021-02183-6
PMID:33665702
Abstract

Non-obstructive general angioscopy (NOGA) images of severe aortic valve stenosis (AS) and atherosclerotic aorta were documented. Atheromatous embolization is known as an important complication of endovascular therapy for severe AS. However, it is hard to detect atherosclerotic changes of the aortic valve and atheromatous aorta related to them in the in-vivo setting. NOGA, which is a novel imaging modality for the aorta and aortic valves, can visualize atherosclerosis of aortic intima vividly. NOGA may play a role in risk stratification for atheromatous embolism with endovascular therapy. We reported a case of severe AS and atheromatous aorta to evaluate before an operation with NOGA.

摘要

记录了严重主动脉瓣狭窄 (AS) 和粥样硬化主动脉的非阻塞性全血管镜 (NOGA) 图像。已知粥样硬化栓子栓塞是严重 AS 血管内治疗的一个重要并发症。然而,在体内环境中很难检测到与严重 AS 相关的主动脉瓣和粥样硬化主动脉的粥样硬化变化。NOGA 是一种用于主动脉和主动脉瓣的新型成像方式,可以生动地显示主动脉内皮层的粥样硬化。NOGA 可能在血管内治疗的粥样硬化栓子栓塞的风险分层中发挥作用。我们报告了一例严重 AS 和粥样硬化主动脉的病例,在手术前用 NOGA 进行评估。

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